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Regional Director Clinical Reimbursement
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Regional Director Clinical Reimbursement
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McLaren Health Care LANSING, MI, USA, United StatesActs as a quality consultant and subject matter expert. Responsible for uncovering opportunities for improvement through data collection/analysis and observation of processes of care. Accountable for data pertaining to assigned clinical outcomes. Assists with, and coordinates, on ...
Regional Director Clinical Reimbursement - Lansing, United States - Prestige Healthcare
Description
Are you a seasoned RN MDS Coordinator or Regional RAI with Multi-Facility Experience?MediLodge is looking for a Regional Director of Clinical Reimbursement Registered Nurse (RN) for a critical support position for 5-7 Skilled Nursing and Rehabilitation centers in our Michigan Central region.
This position is responsible for motivating, inspiring, leading and teaching new employees and guiding tenured nurses on the resident assessment instrument (RAI) process.
What Benefits Do We Offer?
At MediLodge, we understand that our employees work best when they are healthy, happy, and excited about the here and now, as well as the future.
Choose From Three Pet Insurance Options for Your Furry FriendTuition ReimbursementStudent Loan Repayment ProgramCompany Paid Life InsurancePaid Vacation Days with Rollover Option and Sick Time401k Retirement with Company MatchHealth Savings Account (HSA) and Flexible Spending Account (FSA)Unlimited Referral Bonuses and more
TEXT:
REG MDS LAN to to Apply
Help shape the next generation of MDS Coordinators
being a by joining our Regional Support Team
Apply Today We Can't Wait to Meet YOU
Summary:
To provide support to the facility MDS Coordinators in the assigned region
Qualifications:
Education:
Must have nursing degree (or diploma) from accredited college - RN necessaryLicenses/Certification:
Nursing License for the state(s) within the Region
Experience:
Must have 1+ year working with RAI process and PPS.
Essential Functions:
Provide support in MDS to include:
Software questions and trouble shootingMDS schedulingMDS and diagnosis CodingCAA and Care Plan QuestionsRUG and reimbursement related itemsMedicare and Insurance related itemsADR and Medical chart reviewsOn site MDS support and coverage for RNAC absencesMDS training for the facilitiesProvide necessary MDS, RUG, and Medicare auditsEnsure MDS completions and validate submissionsParticipate in Medicare certification and recertification processEnsure adherence to PPS schedule and assessment tyoeEnsure continuing education for the facilitiesFollow-up on any necessary corrective actions.
Knowledge/Skills/Abilities:
Excellent verbal and written communication skills. Able to read, write, speak and understand the English language.
Proficient in Word, Excel and email.
Have good computer software skills.
Must be willing and able to travel extensively.
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.
Job Description
Excellent Resident Care Through TeamworkAbility to plan, organizes, develop, implement and interpret programs, goals, objectives, policies and procedures of clinical services.
