CLINICAL REIMBURSEMENT COORDINATOR-RN

About the role

Join a collaborative and innovative team at Hillcrest Commons Nursing and Rehabilitation. Enjoy weekly pay, generous time off, exceptional health insurance, and opportunities for career growth.

Responsibilities

• Manage all aspects of the MDS process including Medicare and long-term care assessments, scheduling, and completion.
• Works closely with clinical and administrative staff regarding Medicare admissions.
• Conduct resident chart audits and reports to Nursing Administration.
• Ensure accurate MDS completion in accordance with state and federal regulations.
• Review Medicare charts to determine coverage and communicate aspects of care to staff for documentation.
• Conduct team meetings to discuss care planning.
• Provide information as requested to Medicare intermediaries, Mass Pro, or other insurance providers.
• Perform PRI’s when requested.
• Provide PEN Therapy usage forms monthly and certifications as required for gastrostomy feedings.
• Maintain necessary documentation for bed use.
• Perform other duties as assigned by the Director of Nursing or designee.

Qualifications

• Bachelor’s degree in healthcare, nursing, or related field.
• Minimum of 2 years of experience in a healthcare setting.
• Knowledge of Medicare and long-term care regulations.
• Strong organizational and communication skills.
• Ability to work independently and as part of a team.

Benefits

• Weekday schedule
• Comprehensive health insurance
• Generous time off
• Opportunities for professional development

Pay

• $X per hour

Schedule

• Monday through Friday