Healthcare Reimbursement Specialist

7 days ago


Santa Cruz, California, United States Vi Living Full time
Overview

V Living, a renowned Great Place to Work and one of Glassdoor's 100 Best Companies, offers a dynamic environment where you can accelerate your career. Our award-winning training and development programs will help you grow professionally.

We offer a comprehensive benefits package, including competitive pay, exceptional benefits, access to earned wages, generous Paid Time Off, and more.

Job Summary

This is a full-time position that combines the responsibilities of an MDS Coordinator and Floor Nurse, with a focus on optimal reimbursement processes and resident care planning. You will work collaboratively with the Director of Nursing and other disciplines to oversee the completion of the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI) processes, ensuring compliance with federal regulations.

Responsibilities
  • Collaborate with the Director of Nursing and other disciplines to ensure timely completion of the MDS and RAI processes.
  • Manage the overall resident assessment process and tracking of Medicare/Managed Care/Medicaid case mix documents for optimal reimbursement.
  • Assist with resident care planning under the direction of the Director of Nursing.
  • Perform other duties as assigned.
Requirements
  • Graduation from a School for Registered Nursing required.
  • Minimum 1 year of experience in an MDS/Clinical Reimbursement Nurse role preferred.
  • Current State Licensure as a Registered Nurse, CPR, and AED certifications required.
  • Excellent knowledge of case-Mix, Federal Medicare PPS process, Quality Indicator Process, and OBRA regulations.
  • Good oral and written communication skills and ability to interface effectively with all departments and employees.
  • Computer proficiency using Microsoft Office.
Why Join Us

V Living offers a supportive work environment, opportunities for growth and development, and a chance to make a meaningful difference in the lives of our residents. If you are passionate about delivering high-quality patient care and have excellent communication skills, we encourage you to apply for this exciting opportunity.

The estimated salary range for this position is $45.47 - $56.84 per hour, based on location and experience.



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