Regional Director of Clinical Reimbursement

apartment Hill Valley Healthcare Corporate location_onRichmond, VA, US

Join Our Team as a Regional Director of Clinical Reimbursement and Make a Difference in Quality Care!

Unlock Your Potential with Our Exciting Opportunity

Are you a registered nurse with a passion for optimizing reimbursement and ensuring the highest level of revenue integrity? Do you have experience as a Regional in the Long-Term Care (LTC) industry and a knack for coordinating strategic Assessment Reference Dates (ARDs) and completion dates? If so, we have an exceptional role for you as a Regional Director of Clinical Reimbursement. Join our team and become a subject matter expert in MDS completion and its impact on both care quality and revenue.

Position Highlights:

Play a pivotal role in optimizing reimbursement and tracking regions relevant data.
Ensure compliance within a region for revenue integrity requirements, including Physician Certification/Recertification and Denial letters.
Oversee chair revenue-related meetings and promptly respond to facility and regional team inquiries.
Promote accurate IDT documentation and provide education to region.
Oversee comprehensive care plans based on data collection and regulatory guidelines.
Participate in oversight of new MDS coordinator interviews, orientation, and ongoing education.

Qualifications:

Registered nurse with 3+ years reimbursement or similar experience in the LTC industry (preferred).
Computer literacy, including proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
Excellent written, verbal, and technological communication skills.
Strong organizational, analytical, and presentation abilities.
In-depth knowledge of state and federal regulations governing MDS and billing processes in the LTC setting.
Ability to collaborate with IDT members at facility, regional, and corporate levels.

Exciting Benefits Await You:

Attractive Compensation: Enjoy competitive pay that truly values your contributions.
Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO.
401(k) Plan: Secure your financial future with our strong retirement plan.
Flexible Daily Pay: Access your earnings whenever you need them.
Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance.
Wellness Program Access: Prioritize your health with resources designed to support your well-being.
Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration.
Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement.
Comprehensive Onboarding and Professional Development Programs: Expertly crafted to cultivate growth and significantly enhance essential skills, paving the way for sustained success and excellence.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown.

Elevate Your Nursing Career: Apply Now!

We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.

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