RN Clinical Reimbursement Manager MDS

About the role

Our Clinical Reimbursement Manager oversees the coordination of all clinical payment programming and serves as a point of contact to maintain coordination of the MDS and RAI process.

Responsibilities

• Maintains communication between internal and external partners.
• Analyzes services and interventions with the team.
• Communicates with responsible payers to ensure When Coverage Is Appropriate.

Qualifications

• Current State Licensure as a Registered Nurse (RN), in good standing.
• Knowledge of current state and federal regulations governing long-term care facilities.
• Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.

Pay

$39.00 – $47.53 per hour

Schedule

• Full-time position
• Shift: Days, 8:00 AM – 4:30 PM
• Scheduled days: Monday – Friday
• Weekend work requirement: Varies

Benefits

• Paid time off (PTO)
• Retirement benefits
• Medical, dental, and vision coverage
• Education assistance
• Additional voluntary benefits