Clinical Reimbursement Manager - RN
About The Position
The Clinical Reimbursement Manager oversees the coordination of clinical payment programming and serves as a point of contact to maintain coordination of the MDS and RAI process. The role maintains communication between internal and external partners, analyzes services and interventions with the team, and communicates with responsible payers to ensure coverage is appropriate. Benedictine and its Ministry partners are a non-profit senior care organization founded by the sisters of St. Scholastica. The organization operates according to four core values: Hospitality, Stewardship, Respect, and Justice. It aims to provide a comforting and empowering culture for residents and team members, with opportunities available throughout the upper Midwest.
Requirements
- Current state licensure as a Registered Nurse (RN), in good standing.
- Knowledge of current state and federal regulations governing long-term care facilities.
- Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.
Responsibilities
- Maintain communication between internal and external partners.
- Analyze services and interventions with the team.
- Communicate with responsible payers to ensure coverage is appropriate.
- Oversee coordination of clinical payment programming.
- Serve as a point of contact to maintain coordination of the MDS and RAI process.
Benefits
- Paid time off (PTO)
- Retirement benefits
- Medical benefits
- Dental benefits
- Vision benefits
- Education assistance
- Additional voluntary benefits
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
