Vice President of Clinical Reimbursement- RN - Brentwood, United States - Diversicare Healthcare Services & Diversicare Ther

Description

Overview*Lead with Excellence as the VP of Clinical Reimbursement at Diversicare
At Diversicare, we're in search of a Vice President of Clinical Reimbursement to join our exceptional team. If you're passionate about making a difference in the lives of our patients and residents, we invite you to explore this exciting opportunity.

Why Choose Diversicare:


+ Leadership Opportunity:

Our VP of Clinical Reimbursement plays a pivotal role in shaping the quality of care and life of our residents.

Your leadership and expertise will not only drive the clinical reimbursement department but also contribute significantly to the overall mission of Diversicare.

• Upholding Our Values:

Diversicare values trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. As the Vice President of Clinical Reimbursement, you will embody these values and help shape our workplace culture.

• Comprehensive Benefits:

Enjoy a competitive benefits package, including medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, vacation, holiday, and sick time, long and short-term disability.#ND123Responsibilities
The VP of Clinical Reimbursement reports directly to the Chief Operations Officer and is an integral part of the operations leadership team.

This role is responsible for oversight of the entire Clinical Reimbursement team at Diversicare. This includes Directors of Clinical Reimbursement, the Denial and Appeals department, and our Regional Case Managers.


Specifically, this role will:

• Provides leadership and overall direction for all aspects of the clinical reimbursement efforts. Builds and maintains a team of Clinical Reimbursement professionals that support the Diversicare regions and centers in all aspects of the RAI process, Medicare, Medicaid and Managed Care reimbursement and regulatory guidelines. Collaborates with other Division team members as well as subject matter experts to ensure effectiveness and efficiency in our practices and procedures, focused on enhancing revenue and reducing risk. Management and Strategic development of Clinical Reimbursement department to include creation and implementation of tools and programs related to MDS policy and procedure, RAI process, Quality Measures, Five Star Program, Medicare, Medicaid and Managed care reimbursement and regulations. Subject matter expertise and oversight of the software applications that is required for the RAI process, supportive clinical documentation, and billing. Performance management, including coaching, development, education, recruitment and retention efforts of team members.
  Qualifications1. Current RN License by State Board of Nursing2. Minimum of 5 years of Leadership experience within the clinical reimbursement areas of skilled nursing.3. Extensive knowledge of MDS and Clinical Software applications.4. Extensive knowledge of state and federal guidelines and regulations related to RAI Process, Medicare, Medicaid and Managed Care.5. Prior experience in multi-state oversight and management.6. Proven track record of revenue building for all payor types as well as development of systems to reduce risk and increase efficiency.7. Leadership skills with proven experience of building teams and implementing processes for increasing interdisciplinary teams.8. AANAC
• RAC-CT Certification.

Diversicare is committed to being an equal opportunity employer.

Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.

(EOE)
Job ID _ _
Type _Regular Full-Time_
Location Name _Diversicare Support Center(BSC)_
Shift _Days_
_Address_ _1621 Galleria Blvd_
_Location_ _US-TN-Brentwood_#J-18808-Ljbffr