Clinical Reimbursement Specialist (MDS RN)
About The Position
Signature HealthCARE is seeking a detail-oriented, organized, and self-motivated Clinical Reimbursement Specialist who enjoys supporting and training stakeholders. The role assists with developing and implementing systems and programs related to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures, Medicaid Casemix, and Medicare/Medicaid guidelines. It also supports education and training for stakeholders and evaluates facility processes through site visits. The specialist travels to assigned multi-site facilities, typically four days per week, with one day working remotely. The posting specifies travel of 80%–90%, Monday through Friday, including overnight stays. The role includes orienting new MDS Coordinators and reinforcing RAI/MDS/PPS processes through facility visits, audits, mentoring, and training.
Requirements
- Current Registered Nurse licensure, with the ability to obtain multi-state licensure.
- At least five years of related experience as a licensed Registered Nurse in a long-term care setting.
- MDS experience in long-term care within the past two years.
- Willingness and ability to travel 80%–90%, including overnight stays.
Responsibilities
- Assist with the development and implementation of systems and programs related to RAI, PPS, Quality Measures, Medicaid Casemix, and Medicare/Medicaid guidelines.
- Assist in designing and presenting education on RAI, PPS, Quality Measures, and Medicare through media, technology, workshops, classes, and one-on-one instruction.
- Conduct facility site visits to orient new MDS Coordinators and evaluate and reinforce RAI/MDS/PPS processes.
- Train and mentor MDS Coordinators and perform audits.
- Travel to assigned multi-site facilities.
Benefits
- Medical, dental, and vision coverage
- First Stop Health virtual healthcare
- 401(k) and Roth 401(k)
- Company-paid and voluntary life insurance
- Health Savings Account (HSA) and Flexible Spending Account (FSA)
- Paid time off (PTO) and holiday incentive pay
- Tuition reimbursement and tuition discounts with select universities
- Student debt assistance for eligible SNF RNs and LPNs
- Uniform allowance
- Partner Perks discount program
- Perfect Attendance Program
- Pay advance and next-day pay
- Employee Assistance Program (EAP)
- Support through VitalLink and the Signature Inspire Foundation
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
