Clinical Reimbursement Manager for Long-Term Care

2 days ago


Rahway, New Jersey, United States Palm Tree Recruiters Full time
About the Job

Palm Tree Recruiters is seeking a highly skilled Regional MDS Clinical Reimbursement Specialist to join our team. As a key member of our clinical reimbursement team, you will be responsible for providing support, education, and training to MDS Coordinators in our facilities.

Key Responsibilities:
  • Maximize Utilization and Reimbursement: Proactively identify opportunities to optimize reimbursement and ensure accurate coding of MDS submissions.
  • Review and Coordinate PDPM and Case Mix Data: Analyze and review PDPM and Case Mix data to ensure high reimbursement and identify areas for improvement.
  • Provide Consulting Advice: Offer expert consulting advice on clinical support related to MDS Assessment processes and develop standardized training modules.
  • Ensure Compliance: Ensure proper compliance with auditing requirements and identify opportunities for improvement.
Requirements:
  • Experience: 5 years of experience in MDS, with a preferred background in utilization review.
  • License/Certification: RAC-CT certification is required.
  • Travel: Willingness to travel for on-site visits and meetings.
Benefits:
  • Competitive Salary: $90,000 - $120,000 per year.
  • Benefits Package: Comprehensive benefits package, including 401(k), dental insurance, disability insurance, and more.


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