Clinical Assessment and Reimbursement Director

3 weeks ago


Lemont, Illinois, United States Franciscan Ministries Full time
Job Summary

We are seeking a highly skilled and experienced Director of Clinical Assessment and Reimbursement to join our team at Franciscan Ministries. This role will be responsible for supporting and guiding our skilled nursing communities in achieving excellence in clinical assessment and reimbursement.

Key Responsibilities
  1. Oversee the MDS department across our skilled nursing communities to ensure accurate and timely assessments.
  2. Develop and implement strategies to maximize revenue and improve PDPM and CMI outcomes.
  3. Monitor and analyze clinical data to drive quality measure goals and ensure compliance with CMS and Medicare guidelines.
  4. Collaborate with interdisciplinary teams to implement policies and procedures related to reimbursement and care planning.
  5. Provide training and coaching to MDS nurses to ensure they have the necessary skills and knowledge to perform their roles effectively.
Requirements
  1. Licensed Registered Nurse with 5+ years of experience in clinical leadership, including multi-site experience.
  2. 5+ years of experience as a Resident Assessment Coordinator.
  3. Strong communication and leadership skills, with the ability to manage and lead teams effectively.
  4. Ability to travel 45% of the time and work independently in a fast-paced environment.
Working Conditions

This is a field-based position that requires frequent travel to different communities. The ideal candidate will be able to function effectively in a team environment and demonstrate flexibility and personal integrity.

Physical and Mental Demands

The Director of Clinical Assessment and Reimbursement will be required to move intermittently throughout the workday and possess the ability to stand, walk, bend, and lift. They must also have the ability to read, analyze, and interpret complex data and possess leadership ability and willingness to work harmoniously with other personnel.



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