Senior Clinical Reimbursement Specialist

5 days ago


San Jose, California, United States Vi Living Full time
Company Overview

Vi Living is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. As a leader in senior living, we prioritize our residents' well-being and provide a supportive environment for our employees to grow and thrive.

Salary

The estimated salary for this position is $45.47-$56.84 per hour, depending on experience.

Job Description

We are seeking an experienced Senior Clinical Reimbursement Specialist - Resident Care Coordinator to join our team. In this role, you will collaborate with various disciplines to coordinate resident care and maximize reimbursement from Medicare/Managed Care/Medicaid services. Your expertise in clinical reimbursement and ability to navigate regulatory requirements will ensure compliance with federal regulations.

Key Responsibilities:
  • Manage the completion of the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI) processes
  • Collaborate with DON, CRM, and other disciplines to ensure accurate and timely data entry
  • Analyze and interpret data to optimize reimbursement and improve resident outcomes
Required Skills and Qualifications

To be successful in this role, you must have:

  • A registered nurse license in the state where practicing is required
  • Minimum 1 year of experience in an MDS/Clinical Reimbursement Nurse role
  • Strong knowledge of case-Mix, Federal Medicare PPS process, Quality Indicator Process, and OBRA regulations
  • Excellent communication and interpersonal skills
Benefits

As a valued member of our team, you will enjoy a range of benefits, including:

  • Competitive pay
  • Exceptional benefits package
  • Access to earned wages
  • Generous Paid Time Off
  • Tuition Reimbursement
  • Luxury work environment


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