Clinical Reimbursement Specialist (MDS RN)
About The Position
Signature HealthCARE of Fentress County is seeking a Clinical Reimbursement Specialist (MDS RN) to support systems and programs related to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures, Medicaid Casemix, and Medicare/Medicaid guidelines. The role includes educating, training, auditing, and mentoring stakeholders and MDS Coordinators across multiple facilities. The position requires travel to assigned sites Monday through Friday, with travel to multi-site facilities four days per week and one remote workday. The posting states that travel is expected to be 80%–90%, including overnight stays. The specialist will orient new MDS Coordinators during site visits and evaluate and reinforce RAI/MDS/PPS processes.
Requirements
- Current licensure as a Registered Nurse, with the ability to obtain multistate 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 to travel 80%–90%, including overnight stays.
- Ability to travel to assigned sites Monday through Friday; travel to multi-site facilities four days per week and work remotely one day per week.
Responsibilities
- Assist with systems development and implementation of programs related to RAI, PPS, Quality Measures, Medicaid Casemix, and Medicare/Medicaid guidelines.
- Assist with designing and presenting education on RAI, PPS, Quality Measures, and Medicare and Medicaid 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.
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
