Regional Director Clinical Reimbursement

Job Description
Regional Director, Clinical Reimbursement
Fully Remote Position: Northeastern US Based
What makes National Health Care Associates (NHCA) a GREAT fit for you?

Our mission is to provide our residents and their families with superior care delivered by staff dedicated to the principles of kindness, compassion, service, and excellence in an environment where individuality, dignity, and value of those who are served, as well as those who serve, is nurtured and appreciated.
We believe that life, at all stages and with all of its challenges is a precious gift to be shared and celebrated.

It is our privilege to participate in the lives of our residents, their friends, and families by offering them not only physical but emotional care, comfort, and support.
At National Health Care Associates…We Touch People’s Lives.
Who You Are:
Kind, Compassionate, Service Minded, Excellence Driven
What You Will Do:
Promote the capturing of appropriate clinical reimbursement for services provided, while ensuring highest level of revenue integrity with support of corporate established reimbursement initiatives
Optimize reimbursement and identify opportunity through tracking, trending, and analyzing relevant data with supervisor guidance
Strategic planning as relates to case-mix systems
Perform auditing activities as outlined by the Director of Clinical Reimbursement
Perform consistent, focused data mining throughout assigned region
Provide facility visits as required with timely (48*) report of findings
Respond promptly to facility and regional team inquiries related to MDS and reimbursement
Provide management level presentation materials during quarterly meetings as outlined
Participate in the hiring of MDS coordinators.
Assist with orientation and education for MDS coordinators and other IDT members as relates to MDS and/or reimbursement processes
Provide ongoing education and communication with the facility Administrators, MDS staff, and clinical staff as relates to current state and federal regulation governing billing and reimbursement in respective region.
Other related duties as assigned
What You Will Need:
Registered nurse with 3+ years reimbursement or similar experience in the LTC industry
Expertise in PDPM
Computer literacy (Word, Excel, Power Point, Outlook).

Experience with current EMR software a plus
Evidence of effective written, verbal and technological communication
Demonstrates excellent organization, communication and presentation skills
Deadline driven, detail-oriented individual with strong analytical capabilities
Working knowledge of state and federal regulations governing the MDS and billing processes within a nursing facility
Ability to communicate with and elicit support from other regionals and IDT members at the facility level
Ability to apply knowledge in state specific Medicaid and Medicare RUG/PDPM methodologies
Ability to successfully train new MDS coordinators and IDT members with varying levels of experience as appropriate
Ability to conduct themselves with a fair, honest, consistent, and professional temperament
Exhibits independent and self-directed work ethic with the ability to manage multiple facilities data
What We Offer:
An engaging and supportive work environment where every employee is valued, a rewarding career, and outstanding benefits, which currently include:
Weekly Pay
Medical/RX plans HMO’s HSA
Multiple Dental Plans
Vision Plan
Paid STD with voluntary buy-up
Paid Life Insurance with voluntary buy-up dependent coverage
LTD coverage
401(k)
Competitive wages
Ample paid time off
Opportunity for advancement
Diversity, Inclusion, Engagement at National Health Care Associates:
At National Health Care Associates, we not only accept difference, we promote it, we embrace it, and we thrive on it for the betterment of our patients, our employees, and our culture.
We are proud to be an equal opportunity workplace and an affirmative action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other status protected under applicable law.

The post Regional Director, Clinical Reimbursement first appeared on Trabajos 4 You.

from
https://trabajos4younyc.com/healthcare/regional-director-clinical-reimbursement-0082d0/

from
https://trabajos4younyc.weebly.com/blog/regional-director-clinical-reimbursement