Clinical Reimbursement Specialist

1 week ago


Mayfield Heights, Ohio, United States Mayfield Heights Police Department Full time
Job Title: Clinical Reimbursement Specialist

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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