Director of Clinical Reimbursement - Wethersfield, United States - Wethersfield Corporate Office

Wethersfield Corporate Office

Verified Company

Wethersfield, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

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A Great Place to Work
As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team
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What You'll Do:

As a Regional Director of Clinical Reimbursement, our care centers will rely on your expertise regarding the Patient Driven Payment Model (PDPM), ensuring compliance and optimizing revenue reimbursement for the delivery of high-quality care.

Your work will have significant impacts on the quality of life for our guests both present and future.

Key Responsibilities:

Promote the capturing of clinical reimbursement for services while ensuring highest level of revenue integrity
Provide timely guidance and support of the facility clinical reimbursement and MDS team
Collaborate with interdisciplinary teams to gather relevant clinical data
Ensure accurate and compliant documentation for reimbursement purposes
Stay updated on changes in reimbursement regulations and implement necessary adjustments
Perform consistent, focused data mining throughout assigned region
Trend and analyze data to identify areas for improvement and optimization in reimbursement processes
Participate in the hiring, orientation and continuing education of MDS coordinators and other IDT members
Provide ongoing education and communication to the Administrators, MDS and other clinical staff

If you are passionate about making a real difference in people's lives in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as a Regional Director of Clinical Reimbursement.

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What We Offer

Competitive compensation and benefits package
Comprehensive training and mentorship
Opportunities for professional growth and development
Supportive and collaborative work environment
The chance to make a meaningful difference in the lives of our residents

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What You'll Bring:

Qualifications of a Regional Director of Clinical Reimbursement include:

Proven expertise in PDPM, ICD10 coding and Quality Measures
Registered nurse with 3+ years reimbursement or similar experience in the LTC industry
Ability to travel >50%, with possible overnight and out of state travel assignments
Selfdirected with the ability to manage multiple facilities concurrently
Experience with current EMR software a preferred; general PC software proficiency required
Excellent interpersonal and communication skills written, verbal and presentation skills to collaborate and influence across departmetns
Deadline driven, detailoriented individual with strong analytical capabilities
Familiar with state and federal regulations governing the MDS and billing processes within a nursing facility
Interest in the needs of the aged and the chronically ill with the ability to work with both
Ability to work effectively in a team environment

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We Hire for Heart
National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National's centers are unique but share common values
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Kindness, Service, Compassion and Excellence. Today, our centers include more than 30 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named "Best Of" by US News & World Report.

When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.