Clinical Reimbursement Specialist

2 weeks ago


Prestonsburg, Kentucky, United States Signature HealthCARE KY, Prestonsburg Full time
About Signature HealthCARE

Signature HealthCARE is a family-based healthcare company that offers integrated services across the continuum of care, including skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.

We are committed to delivering high-quality care and services to our patients and residents. Our growing number of centers are earning quality assurance accreditation and pioneering person-directed care.

Many of our skilled nursing facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services.

Overview of the Role

The ideal Clinical Reimbursement Specialist candidate is detail-oriented, organized, self-motivated, and passionate about supporting and training stakeholders. The ability to travel to assigned sites Monday through Friday is a must.

Key Responsibilities
  • Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QMs), Medicaid Casemix, and Medicare/Medicaid guidelines for all SHC stakeholders.
  • Design and present RAI, PPS, Quality Measures, Medicare, and Medicaid education utilizing various types of media, technology, workshops, classes, and one-on-one training.
  • Conduct facility site visits to orient new MDS Coordinators and evaluate and reinforce RAI/MDS/PPS processes.
Requirements
  • Current licensure as a Registered Nurse with the ability to obtain multi-state licensures.
  • Minimum of five (5) years related experience as a licensed Registered Nurse in a long-term care setting.
  • Eighty to ninety percent (80% - 90%) travel with overnight stays.
Benefits

Our exceptional benefits package and Signature Perks include medical, dental, and vision insurance, voluntary life/disability insurance, free telemedicine with medical plan, 401(k) and Roth 401(k), tuition forgiveness/education reimbursement, and a variety of additional specialized insurances.

We also offer pay advance and next-day pay, work-life balance, partner perks and discounts, and a reward and recognition program (HEART).

At Signature HealthCARE, our team members are empowered to employ their talents and abilities to solve problems. Our culture is built on three distinct pillars: Learning, Spirituality, and Intra-preneurship.

Come see what the revolution is all about

Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer Minority / Female / Disability / Veteran and other protected categories.



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