Regional Reimbursement Nurse

Creative Solutions in Healthcare • Fort Worth, TX

2h • Onsite

About The Position

As a Regional Reimbursement Nurse, you will play a critical role in ensuring compliance, accuracy, and timeliness of assessments and documentation across multiple facilities. You’ll support facility staff, oversee MDS coordination, and contribute to quality outcomes that directly impact resident care.

Requirements

• Licensed Nurse in good standing.
• Geriatric nursing background with restorative care philosophy.
• Strong professional skills in both assessment and hands-on care.
• Knowledge of nursing home regulations and compliance standards.
• Ability to work independently and collaboratively with facility staff.
• Excellent organizational and communication skills with the ability to manage multiple priorities.
• Reliability, trustworthiness, and consistent attendance are essential.

Responsibilities

• Support Facility Staff: Schedule residents for admission, annual, quarterly, Medicare, or change-of-condition assessments, ensuring clear communication with nursing and other departments.
• Maintain Compliance: Ensure all assessments meet Federal and State regulations for comprehensive assessment (MDS) completion and coordination.
• Oversee Documentation: Monitor MDS and care plan records for accuracy, completeness, and chronological order.
• Facilitate Meetings: Attend Medicaid and ITTM meetings to gather information, share updates, and maintain clinical records and care plans.
• Manage Care Plans: Perform updates as needed to reflect resident needs and regulatory standards.
• Quality Reporting: Provide DONs, Administrators, and staff with Quality Indicator Reports.
• Timely Submissions: Perform transmissions of MDS assessments on schedule.
• Stay Current: Remain informed on industry changes through workshops and conferences.
• Ancillary Management: Collect, manage, and report data to corporate billing personnel.

Benefits

• Health, Dental, and Vision Insurance
• Ancillary Coverage: AD&D, Short-Term Disability, Cardiac, Cancer, Critical Illness, Hospital Confinement
• Whole and Term Life Insurance
• Tuition Reimbursement
• Paid Time Off
• Immediate 401(k) Eligibility
• Exceptional Corporate Support

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees