Clinical Reimbursement Specialist
1 week ago
Job Summary:
Mayfield Heights Nursing and Rehabilitation is seeking an experienced full-time Clinical Reimbursement Specialist to coordinate the RAI process, ensuring timely and complete MDS assessments and Interdisciplinary Care Plans.
Responsibilities:
- Coordinate the RAI process, ensuring accurate and timely completion of MDS assessments and Interdisciplinary Care Plans.
- Provide Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and reimbursement is received for each resident.
- Manage care oversight to ensure compliance with federal and state regulations.
Requirements:
- Graduate of an accredited school of nursing; RN or LPN
- Valid LPN or RN license in the state of Ohio
- 3 years of experience in a long-term care environment preferred
- Experience with the MDS/RAI process and/or case management preferred
Benefits:
- Medical
- Dental
- Vision
Location:
Mayfield Heights, OH
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