Clinical Reimbursement Manager/MDS Director
1 month ago
Genesis HealthCare is a leading provider of healthcare services, offering a wide range of living options and professional clinical services. We are seeking a highly skilled Clinical Reimbursement Manager to join our team.
The ideal candidate will have experience in maximizing revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process. This role will involve participating in the development, implementation, evaluation, and outcomes management of reimbursement priorities in nursing centers to ensure proper utilization of services and maximize revenues.
The Clinical Reimbursement Manager will advise and assist Clinical Reimbursement/MDS Coordinators to ensure compliance with HCFA and State reimbursement regulations and Genesis Policies and Procedures. This will involve presenting changes in reimbursement regulations to nursing center operations through training classes and participating in nursing centers' Medicare meetings to review coverage and documentation issues and requirements.
The successful candidate will have a strong background in healthcare reimbursement, with experience in Medicare and Medicaid regulations. A Bachelor's degree in a related field is required, and a license as a Registered Nurse or equivalent professional license is preferred.
We offer a competitive salary range of $95,000 - $105,000 per year, as well as opportunities for career growth and development. If you are a motivated and experienced healthcare professional looking for a new challenge, we encourage you to apply.
Key Responsibilities:
- Participate in the development, implementation, evaluation, and outcomes management of reimbursement priorities in nursing centers
- Advise and assist Clinical Reimbursement/MDS Coordinators to ensure compliance with HCFA and State reimbursement regulations and Genesis Policies and Procedures
- Present changes in reimbursement regulations to nursing center operations through training classes
- Participate in nursing centers' Medicare meetings to review coverage and documentation issues and requirements
Requirements:
- Graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license
- BS or BA degree in a related field
- Experience in Medicare and Medicaid regulations
Genesis HealthCare, Inc. is an Equal Opportunity Employer
-
Clinical Leadership Position
4 weeks ago
Philadelphia, Pennsylvania, United States Prominent Career Solutions, LLC Full timeJob Summary:The Medical Director will oversee the daily clinical operations of medical staff, providing leadership for operational issues and policy design/implementation. This role requires an active physician within the practice, developing practice-oriented education and mentoring/train clinical staff. The Medical Director will also be involved in Quality...
-
Philadelphia, Pennsylvania, United States Concentra Network Services Full timeJob Title: Medical Director for Occupational Health ClinicConcentra is seeking a Medical Director for our Occupational Health Clinic. As a Medical Director, you will be responsible for providing exceptional clinical care delivery within the center, consistent with Concentra's clinical model, and ensuring optimal clinical outcomes for our workforce patient...
-
Philadelphia, Pennsylvania, United States Concentra Full timeJob SummaryConcentra is seeking a highly skilled Occupational Health Physician Clinic Medical Director to join our team. As a Medical Director, you will play a crucial role in providing exceptional care to our patients and leading our clinical team to achieve optimal clinical outcomes.ResponsibilitiesProvide direct patient care and mentorship to our clinical...
-
Philadelphia, Pennsylvania, United States Concentra Full timeJob Summary:Concentra is seeking a highly skilled Occupational Health Physician Clinic Medical Director to lead our patient care team and provide exceptional clinical care to our patients. As a Medical Director, you will be responsible for delivering high-quality patient care, mentoring, and leading by example. You will also collaborate with our Director of...
-
Clinical Director
4 weeks ago
Philadelphia, Pennsylvania, United States ChenMed Full timeChenMed is seeking a dedicated Clinical Director to lead and transform senior care in our centers. As a key member of our team, you will oversee and train primary care providers, ensuring top-notch clinical quality, efficiency, and patient satisfaction.About the Role:As a Clinical Director, you will:Lead and Supervise: Directly oversee and train primary care...
-
Medical Director
4 weeks ago
Philadelphia, Pennsylvania, United States Concentra Network Services Full timeJob SummaryWe are seeking a highly skilled Medical Director to join our team at Concentra Network Services. As a Medical Director, you will be responsible for providing exceptional clinical care delivery within the center, consistent with Concentra's clinical model, and ensuring optimal clinical outcomes for our workforce patient population.Key...
-
Philadelphia, Pennsylvania, United States Concentra Network Services Full timeMedical Director Opportunity at Concentra Network ServicesWe are seeking a highly skilled Medical Director to join our team at Concentra Network Services. As a Medical Director, you will play a crucial role in providing exceptional clinical care to our patients and leading our team of healthcare professionals.Key Responsibilities:Provide clinical leadership...
-
Clinical Research Unit Director
4 weeks ago
Philadelphia, Pennsylvania, United States The Medicus Firm Full timeJob Summary:The Clinical Research Unit Director will serve as the primary clinical research leader within the Division of Infectious Diseases and HIV Medicine. This individual will develop an active, extramurally funded research program and participate in institutional, educational, and clinical initiatives. The successful candidate will work with the...
-
Clinical Director
1 month ago
Philadelphia, Pennsylvania, United States ChenMed Full timeTransforming Senior Care: A Leadership OpportunityChenMed is seeking a dedicated and innovative Clinical Director to join our team and drive clinical excellence in senior care. As a leader in geriatric medicine, you will oversee and train primary care providers, ensuring top-notch clinical quality and patient satisfaction.About the Role:Lead and Supervise:...
-
Clinical Director
3 weeks ago
Philadelphia, Pennsylvania, United States ChenMed - Philadelphia, PA Full timeAt ChenMed, we're committed to revolutionizing senior healthcare. As an Associate Clinical Director, you'll play a pivotal role in shaping the future of care.About the Role:You'll lead and supervise primary care providers, ensuring exceptional clinical quality, efficiency, and patient satisfaction. Your responsibilities will include:Direct Patient Care:...
-
Medical Director Physician Center
3 weeks ago
Philadelphia, Pennsylvania, United States Concentra Full timeJob Summary:Concentra is seeking a highly skilled and experienced Medical Director to lead our Physician Center team. As a Medical Director, you will be responsible for providing exceptional clinical care delivery within the center, consistent with Concentra's clinical model, and ensuring optimal clinical outcomes for our workforce patient population.Key...
-
Clinical Director
4 weeks ago
Philadelphia, Pennsylvania, United States PATH People Acting To Help, Inc. Full timeJob Title: Clinical DirectorPATH People Acting To Help, Inc. is seeking a highly skilled and experienced Clinical Director to join our team. As a Clinical Director, you will be responsible for providing clinical and administrative supervision of staff, ensuring the delivery of high-quality services, and promoting the mission of PATH.Key...
-
Director of Clinical Operations
3 weeks ago
Philadelphia, Pennsylvania, United States The Children's Hospital of Philadelphia Full timeRole SummaryThe Director of Clinical Operations will provide strategic direction and operational leadership for all initiatives and programs across the division. This role is responsible for the financial, administrative, operational, managerial, human resources, and strategic planning issues related to the assigned divisions.Key ResponsibilitiesFinancial...
-
Physical Therapist Clinic Director
4 weeks ago
Philadelphia, Pennsylvania, United States Trinity Rehab Full timeJob Opportunity: Physical Therapist Clinic DirectorWe are seeking a highly skilled and motivated Physical Therapist Clinic Director to lead our growing clinics. As a key member of our team, you will play a critical role in establishing and directing our clinics, ensuring exceptional patient care and outcomes.Key Responsibilities:Oversee the daily operations...
-
Clinical Director
4 weeks ago
Philadelphia, Pennsylvania, United States Elwyn Full timeClinical Director Job SummaryThe Clinical Director is responsible for overseeing the clinical and operational aspects of the Crisis Response Service programs. This includes providing rehabilitation and support services to individuals in crisis. The ideal candidate will have a strong background in mental health and experience in supervising teams.Provide...
-
Senior Plastic Surgery Medical Director
3 weeks ago
Philadelphia, Pennsylvania, United States UnitedHealth Group Full timePlastic Surgery Medical Director RoleUnitedHealth Group is seeking a highly skilled Plastic Surgery Medical Director to join their team. The ideal candidate will have a MD or DO, current board certification in Plastic Surgery, and 5+ years of clinical experience post residency in Plastic Surgery.Key Responsibilities:Reviewing surgical and professional...
-
Clinical Director
3 weeks ago
Philadelphia, Pennsylvania, United States Elwyn Full timeClinical Director Job DescriptionJob Summary: We are seeking a highly skilled and experienced Clinical Director to lead our Crisis Response Service programs. The successful candidate will be responsible for providing overall clinical and operational direction to our teams, ensuring the delivery of high-quality rehabilitation and support services to...
-
Clinical Trials Director
1 month ago
Philadelphia, Pennsylvania, United States Insight Global Full timeAssistant Director Job DescriptionWe are seeking an experienced Assistant Director to oversee our Clinical Trials Office in Philadelphia, PA. This role will involve managing a team of Clinical Research Project Managers and coordinating with coordinators and data managers to ensure the success of our oncology disease groups.Key Responsibilities:Oversee the...
-
Physician Center Medical Director
4 weeks ago
Philadelphia, Pennsylvania, United States Concentra Full timeJob SummaryConcentra is seeking a highly skilled and experienced Medical Director to lead our physician center team. As a Medical Director, you will be responsible for providing exceptional clinical care delivery, ensuring optimal clinical outcomes, and supporting the Director of Medical Operations.ResponsibilitiesProvide direct patient care, mentoring, and...
-
Senior Medical Director
3 weeks ago
Philadelphia, Pennsylvania, United States Spark Therapeutics Inc Full timeJob DescriptionWe are seeking a highly skilled and experienced Senior Medical Director to lead our neurology clinical development efforts. As a key member of our team, you will be responsible for developing and executing global clinical strategies for our gene therapy programs.Key Responsibilities:Develop and implement global clinical development plans for...