Overview
The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a love for supporting and training Stakeholders. The ability to travel to assigned sites Monday – Friday is a must.
Responsibilities
- Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM’s), Medicaid Casemix and Medicare/Medicaid guidelines for all SHC Stakeholders.
- Assist with design and presentation of RAI, PPS, Quality Measures, Medicare and Medicare education utilizing various types of media, technology, workshops, classes, and one on one.
- Conduct facility site visits to orient new MDS Coordinators as well as to evaluate and reinforce RAI/MDS/PPS processes.
Qualifications
- Current licensure as a Registered Nurse with ability to obtain multi-state licensures.
- Minimum of five (5) years related experience as a licensed Registered Nurse in a long-term care setting.
- Eighty to ninety percent (80% - 90%) travel with overnight stays.