Clinical Reimbursement Specialist

6 days ago


Charleston, West Virginia, United States Shenandoah Center - Charles Town, WV Full time
Shenandoah Center - Charles Town, WVSeeking a Dedicated Clinical Reimbursement Specialist

We are seeking a highly skilled and detail-oriented Clinical Reimbursement Specialist to join our team at Shenandoah Center in Charles Town, WV. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring accurate and timely completion of Medicare/Medicaid case-mix documents, reviewing care plans, and integrating information from various departments to ensure maximum reimbursement for services provided.

Key Responsibilities:
  • Manage the overall process and tracking of Medicare/Medicaid case-mix documents
  • Conduct concurrent MDS reviews to achieve maximum allowable RUG categories
  • Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services
Requirements:
  • Graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure
  • At least one year of long-term care nursing experience
What We Offer:
  • Competitive salary range: $90,000 - $100,000 per year
  • Full-time position with a Monday through Friday schedule
  • Benefits package including nursing student loan debt repayment and tuition assistance
About Us:

Shenandoah Center is a leading provider of post-acute, long-term care, and senior living services. We are committed to delivering high-quality healthcare and everyday compassion to our patients and residents. Our team is dedicated to creating a diverse, equitable, and inclusive work environment that fosters growth and development.



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