RN Clinical Reimbursement Specialist
7 days ago
Hebrew Center for Health & Rehabilitation is a proud affiliate of National Health Care Associates, certified as a Great Place to Work. This esteemed recognition underscores our commitment to providing exceptional resident care and fostering a supportive work environment.
About the RoleWe are seeking an experienced RN Clinical Reimbursement Specialist to join our team at Hebrew Center for Health & Rehabilitation. As an integral part of our interdisciplinary team, you will play a critical role in ensuring the accuracy and completeness of Minimum Data Set (MDS) assessments for all residents.
Key Responsibilities- Determine Patient Driven Payment Method (PDPM) and associated expenses for potential admissions
- Participate in admitting prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels
- Complete and ensure the accuracy of MDS assessments for all residents
- Monitor Case Mix Index (CMI) scores, identifying potential risks and/or changes that may impact reimbursement
- Ensure revenue integrity and compliance with state and federal regulations for MDS completion and coding conventions
- Collaborate with interdisciplinary teams to ensure accurate data collection for assessments
- Provide insights and ongoing education to facility staff and leaders
This exceptional opportunity offers a chance to make a meaningful difference in the lives of our residents while advancing your career in a dynamic and supportive environment.
Benefits- Competitive compensation package including a 10% defined contribution retirement plan
- Comprehensive training and mentorship opportunities
- Professional growth and development initiatives
- A supportive and collaborative work environment
- The chance to make a lasting impact on the lives of our residents
As an affiliate of National Health Care, our Hebrew Center for Health & Rehabilitation team enjoys a range of benefits and perks, including competitive compensation and benefits packages, comprehensive training and mentorship programs, and opportunities for professional growth and development. We offer a supportive and collaborative work environment where your expertise and dedication are valued and appreciated.
Requirements- Valid state RN nursing license
- Advanced degree or certification preferred
- Direct care experience in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist, or Nurse Assessment Coordinator experience preferred
- Knowledge of state and federal regulations governing MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid, and Medicare requirements helpful
- Interest in the nursing needs of the aged and the chronically ill with the ability to work with both
- Deadline-driven, detail-oriented individual with strong organizational skills, analytical capabilities, and the ability to make decisions independently
- Excellent written and verbal communication and interpersonal abilities
- Ability to work effectively and influence others in a multidisciplinary team environment
The estimated salary for this role is $65,000 - $80,000 per year, based on national averages and industry standards.
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