Clinical Reimbursement Specialist
4 weeks ago
Springpoint Living is seeking an experienced Clinical Reimbursement Specialist to join our team. The ideal candidate will have a strong background in regulatory compliance and quality improvement efforts to attain appropriate Medicare or Managed Care reimbursement.
Key Responsibilities- Ensure compliance with Federal and State regulations and company policies that govern Medicare and state payment systems.
- Review accuracy of ICD-10 Coding and provide oversight of the RAI process and policies.
- Audit MDS for accuracy and timeliness, and coordinate and provide education to the MDS Coordinators and Interdisciplinary team related to the RAI process, regulatory changes and reimbursement.
- Audit accuracy of PBJ data prior to submission, and provide temporary MDS completion support at the communities.
- Assure care planning and care conferencing is taking place according to the state and regulatory guidelines.
- Provide in-service training and orientation to facility staff regarding the MDS, ADL's and accuracy at the communities.
- Conducts concurrent MDS reviews to assure the achievement of maximum allowable PDPM categories allowed by law.
- Graduate of an approved Registered Nurse Program required.
- Multistate Registered Nurse licensure required.
- RNAC Certification required.
- Prior experience in Medicare reimbursement and/or MDS experience required.
- Comprehensive Benefits Package Including Medical/Dental/Vision/RX Plans, 401(k) with Company Match, PTO and Holidays, Flexible Spending Accounts, Supplemental Life Insurance, Employee Bonus Referral Program, Employee Assistance Program, Wellness Program, and Tuition Reimbursement.
$125,000.00 / yr
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Clinical Operations Specialist
1 month ago
Trenton, New Jersey, United States Prime Therapeutics Full timeJob DescriptionPrime Therapeutics is seeking a highly skilled Clinical Operations Specialist to join our team. As a key member of our clinical operations team, you will play a critical role in developing, implementing, and monitoring clinical specialty programs in the field. Your expertise will be essential in serving as a clinical liaison for assigned...
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Clinical Support Specialist
4 weeks ago
Trenton, New Jersey, United States Spectrum Health System Full timeJob SummarySpectrum Health System is seeking a highly skilled and detail-oriented Clinical Support Specialist - Surgery to join our team. As a key member of our surgical team, you will be responsible for providing clinical support to our surgeons and medical staff.Key ResponsibilitiesAssist with patient flow and coordination of surgical proceduresProvide...
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Clinical Behavioral Health Specialist
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Clinical Care Specialist
1 month ago
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Licensed Practical Nurse
4 weeks ago
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Clinical Nurse Specialist
4 weeks ago
Trenton, New Jersey, United States Capital Health Medical Group Full timeJob SummaryAs a Clinical Nurse Specialist at Capital Health Medical Group, you will play a vital role in delivering high-quality patient care in our acute care setting. Your expertise in assessment, documentation, and consultation will be essential in identifying priority care needs and developing effective care plans.Key ResponsibilitiesConduct thorough...
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Clinical Nurse Specialist
4 weeks ago
Trenton, New Jersey, United States Capital Health (US) Full timeJob DescriptionCapital Health is a leading healthcare provider in the region, known for its commitment to quality patient care and innovative technology. Our team of exceptional physicians, nurses, and staff work together to deliver exceptional patient outcomes.Position OverviewClinical Nurse Specialist JDCapital Health requires all applicants to undergo a...
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Clinical Liaison Specialist
4 weeks ago
Trenton, New Jersey, United States Greenbrook Manor Care and Rehabilitation LLC Full timeJob Summary:A Clinical Liaison at Greenbrook Manor Care and Rehabilitation LLC is responsible for admitting new patients to our facility and serving as an intermediary throughout their treatment process. They establish a relationship and serve as a bridge between patients and their medical teams, performing tasks including intake evaluations, admitting...
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Clinical Care Specialist
1 month ago
Trenton, New Jersey, United States RWJBarnabas Health Full timeClinical Care Technician Job OverviewIn this role, you will work under the direction of the RN to provide care to patients on the unit.Responsibilities:Take vital signs, EKGs, perform phlebotomy, and assist or provide patients with bedside care, including bathing, mouth care, and skin care.Work every other weekend and holiday.Requirements:High School Diploma...
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Clinical Tech.
1 month ago
Trenton, New Jersey, United States Fast Pace Health Full timeOverviewChristian Family Medicine, a Fast Pace Health brand, is committed to delivering exceptional patient care in a friendly and encouraging environment. We are seeking a highly skilled and experienced Clinical Tech to join our team.ResponsibilitiesProvide clinical and administrative support to healthcare providers, ensuring seamless patient care.Prepare...
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Clinical Nurse Specialist
4 weeks ago
Trenton, New Jersey, United States Capital Health Medical Group Full timeJob SummaryAs a Clinical Nurse Specialist with Capital Health Medical Group, you will play a vital role in delivering high-quality patient care in our acute care setting. Your expertise will enable you to assess patients, identify priority care needs, and develop effective care plans. You will work closely with our interdisciplinary team to ensure seamless...
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Clinical Nurse Specialist
3 weeks ago
Trenton, New Jersey, United States GHR Healthcare Full timeGHR Healthcare is seeking a clinical nurse specialist for a med surg / telemetry position in a local contract nursing job.Job Description & RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNDuration: 8 weeks, 34 hours per weekShift: 12 hours, nightsEmployment Type: Local ContractAbout GHR HealthcareFor over 30 years, GHR Healthcare has been the bridge...
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Healthcare Professional
3 weeks ago
Trenton, New Jersey, United States DirectEmployers Full timeOverviewAt DirectEmployers, we're committed to providing enhanced human-centric healthcare solutions. Our purpose is to deliver quality care to our members, and we're seeking a skilled Clinical Care Coordination Specialist to join our team.About the RoleThis is a remote opportunity with 50 to 75% field travel in Union County and surrounding counties. The...
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Dental Care Specialist
4 weeks ago
Trenton, New Jersey, United States gpac Full timeJob Opportunity:GPAC is seeking a skilled Dental Care Specialist to join our team. As a Clinical Dentist, you will be responsible for creating dental treatment plans and coordinating oral health care during patient consultations. Your expertise will be essential in repairing decayed and broken teeth through restoration techniques, potentially extracting...
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Clinical Specialist
3 weeks ago
Trenton, New Jersey, United States Catholic Charities, Diocese of Trenton Full timeAbout the Role:Catholic Charities, Diocese of Trenton is seeking a skilled Clinician to coordinate and deliver behavioral health services for foster children and their families.This position requires a compassionate and flexible individual who can provide resource development, assessments, and counseling services as needed.The ideal candidate will have a...
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Clinical Specialist
4 weeks ago
Trenton, New Jersey, United States Catholic Charities, Diocese of Trenton Full timeAbout the PositionCatholic Charities, Diocese of Trenton is seeking a highly skilled Clinician I to join our team. As a member of our Behavioral Health Services department, you will play a critical role in providing professional behavioral health services to meet the wellness and recovery needs of our consumers.Key ResponsibilitiesConduct assessments and...
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Clinical Specialist
4 weeks ago
Trenton, New Jersey, United States Catholic Charities, Diocese of Trenton Full timeAbout the OpportunityCatholic Charities, Diocese of Trenton is a faith-inspired non-profit organization seeking a skilled Clinician to join our team. As a member of our Direct Care - Clinical department, you will play a vital role in providing professional behavioral health services to meet the wellness and recovery needs of our consumers.Key...
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Clinical Liaison Specialist
1 month ago
Trenton, New Jersey, United States Greenbrook Manor Care and Rehabilitation LLC Full timeA Clinical Liaison Opportunity at Greenbrook Manor Care and Rehabilitation LLCAristaCare is seeking a dedicated and compassionate Clinical Liaison to join our team. As a key member of our admissions team, you will play a vital role in ensuring a seamless transition for new patients into our facility.Your primary responsibility will be to establish strong...
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Clinical Support Specialist
4 weeks ago
Trenton, New Jersey, United States Compu-Vision Consulting Full timeJob Title: Licensed Practical Nurse (LPN) - Home CareSchedule Notes:Certified Home Care 8:30 AM - 5:00 PM 5 x 8 hr Every Other Weekend Required No Holiday Requirement No On-Call RequirementJob Summary:The primary role of the LPN is to provide clinical support, under the direction of the clinical supervisors and/or RN professional to ensure smooth patient...
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Clinical Nutrition Specialist
1 month ago
Trenton, New Jersey, United States Laurel Lakes Rehabilitation and Wellness Center Full timeJob Title: Clinical Registered DietitianLaurel Lakes Rehabilitation and Wellness Center is seeking a skilled Clinical Registered Dietitian to join our team. As a key member of our nutrition services team, you will be responsible for providing high-quality nutritional care to our residents/patients.Responsibilities:Maintain accurate records of...