Regional Director of Clinical Reimbursement

1 week ago

Southfield, MI, United States Spring Gate Rehabilitation and Healthcare Center Full time
Regional Director of Clinical Reimbursement(Regional Resident Assessment Coordinator (RDAC)
(Registered Nurse)

We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront. At the end of each day, knowing that you've made a meaningful impact in the lives of our residents will be your greatest reward.

Facility: Some travel between MediLodge of Taylor, The Lodge at Taylor, MediLodge of Southfield, MediLodge of Monroe
Why MediLodge?
  • Michigan's Largest Provider of long-term care skilled nursing and short-term rehabilitation services.
  • Employee Focus: We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
  • Employee Recognition: Regular acknowledgement and celebration of individual and team achievements.
  • Career Development: Opportunities for learning, training, and advancement to help you grow professionally.
  • Michigan Award Winner: Recipient of the 2023 Michigan Employer of the Year Award through the MichiganWorks Association.
Key Benefit Package Options?
  • Medical Benefits: Affordable medical insurance options through Anthem Blue Cross Blue Shield.
  • Additional Healthcare Benefits: Dental, vision, and prescription drug insurance options via leading insurance providers.
  • Flexible Pay Options: Get paid daily, weekly, or bi-weekly through UKG Wallet.
  • Benefits Concierge: Internal company assistance in understanding and utilizing your benefit options.
  • Pet Insurance: Three options available
  • Education Assistance: Tuition reimbursement and student loan repayment options.
  • Retirement Savings with 401K.
  • HSA and FSA options
  • Unlimited Referral Bonuses.
Start a rewarding and stable career with MediLodge today
Summary:
The Regional Resident Assessment Coordinator provides support, education, and training to assigned facilities on the resident assessment instrument (RAI) process. Coordinates clinical operations in assigned facilities to ensure compliance with Medicare guidelines and managed care case management policy.
Qualifications:
Education:
  • Registered Nursing degree (or diploma) from accredited college - RN Required
Licenses/Certification:
  • Nursing License for the state(s) within the Region
  • MDS 3.0 certification
Experience:
  • Three years of nursing experience in a long-term care environment preferred.
  • Must have 1+ year working with RAI process and PPS.
Essential Functions:
  • Able to read, write, speak and understand the English language.
  • Able to move intermittently throughout the workday.
  • Practice regular and predictable attendance.
  • Understand and follow company policies.
  • Review MDS Detail and RUGS monthly or more frequently as needed for assigned facilities.
  • Provides support to assigned facilities in training of MDS staff.
  • Provides support to assigned facilities to prepare clinical team on MDS process.
  • Provides support to assigned facilities for MDS issues and concerns during survey process.
  • Provides support to assigned facilities in Identifying Medicare entitlement and eligibility for prospective residents.
  • Provides support and training to assigned facilities on MDS software.
  • Performs other duties as assigned
Knowledge/Skills/Abilities:
  • Excellent verbal and written communication skills.
  • Proficient in Word, Excel and email.
  • Have good computer software skills.
  • Must be willing and able to travel when needed.
  • Ability to provide education to professional and non-professional staff.
  • Knowledgeable of nursing practices and procedures as well as laws, regulations and guidelines governing nursing functions in long-term care.
  • Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies and procedures of clinical services.
  • Ability to work cooperatively as a member of a team.
  • Ability to communicate effectively with residents and their family members, and at all levels of the organization.
  • Knowledge of Medicare regulations.
  • Ability to maintain confidentiality of all information.


Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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