CLINICAL REIMBURSEMENT COORDINATOR (RN/LPN)

Integritus Healthcare•Lynn, MA

1d•$45 - $55•Onsite

About The Position

We are seeking a Clinical Reimbursement Coordinator, a part-time position (24 hours/week) with the potential for additional hours (8-16) for wound care if experienced. This role is based in Danvers, MA, just 30 minutes north of Boston. We are a premier skilled nursing facility offering long- and short-term care, rehabilitation, and respiratory services, and are part of one of the largest post-acute healthcare systems in Massachusetts. We are dedicated to fulfilling the health and residential needs of the communities we serve. This is a Monday through Friday management position.

Requirements

Registered Nurse or Licensed Practical Nurse in the State of Massachusetts
Prior MDS / Clinical Reimbursement experience.
Strong organizational skills; detail oriented
Exceptional critical thinking skills
High level of professionalism and confidentiality in compliance with HIPAA standards
Must have compassion, tolerance and understanding for older adults.
1-3 years prior reimbursement/MDS experience.

Nice To Haves

Previous experience in a Skilled Nursing or Long-Term Care facility preferred
Additional 8-16 hours for wound nurse if experienced

Responsibilities

Ensures accurate MDS completion in accordance with state and federal regulations.
Review Medicare charts to determine coverage, communication on aspects of care to staff for documentation.
Conduct team meetings to discuss care planning.
Provide information as requested to Medicare intermediate, Mass Pro, or other insurance providers.
Do PRI's when requested.
Provide PEN Therapy usage forms monthly and certifications as required for gastrostomy feedings.
Monitor necessary documentation for bed use.
Perform other duties as assigned by the Director of Nursing or designee.