Regional Clinical Reimbursement Specialist - Allentown

Caring is at the heart of everything! Working in long term care offers many rewards you can't find anywhere else. From the relationships you develop to the sense of pride you feel when you help others, you can find it here! Come work for a team that goes the extra mile to make a difference in the lives of others!

We offer everything you are looking for: On Demand Pay * Excellent PTO program * Great health plans * Employee Engagement Activities * Growth Opportunities *Company paid life insurance & much more!

If you're interested in making a difference in the healthcare field, explore the current job opportunities available. You'll be able to make a difference in the lives of the residents as well as their families and friends.

POSITION SUMMARY:

As Regional Clinical Reimbursement Specialist, you are delegated the administrative authority and accountability necessary for carrying out your assigned duties. You are responsible for the functions of the reimbursement department at each facility in your region. This position assumes a primary role in RAI process.

Qualifications/ Responsibilities:

• Must possess a current, unencumbered, active license to practice as a Registered Nurse or Licensed Practical Nurse in the state of employment
• Preferably hold a Bachelor's degree from a (4) four year college or university or four (4) to five (5) years of related experience and/or training; or an equivalent combination of education and experience
• Implements policies and procedure for Clinical Reimbursement in the Region
• Monitors achievement of goals and objectives for the facility in regards to clinical assessments and reimbursement consistent with established philosophy and standards of practice
• Monitors Quality Indicators and Quality Measures to insure the appropriate information within the MDS assessments are accurately identified
• Conducts facility reviews to assure the facility is in compliance with timeframes and accuracy of the MDS
• Assure care planning and care conferencing is taking place according to the state and regulatory guidelines
• Schedules periodic site visits to provide supervision, clinical expertise, ensure communication and to monitor the overall operation of reimbursement department
• Provide in-service training and orientation to facility staff regarding the MDS, ADL's and accuracy

Experience:

• Must have proven leadership ability with a minimum of five (5) years of experience in nursing service administration

We strive to be the leader in the long-term care industry. It is our commitment to the care of the residents and staff that sets us apart from the rest. From the development of the Scratch Kitchens to the partnership with the Saber Foundation Employee Hardship program, we are committed to the care and attention of everyone we serve!

Benefits and Perks*:

• Eligible for benefits the first of the month following 30 days
• Employer contribution and match for HSA (Health savings account)
• Comprehensive benefit packages including medical, dental and vision
• 401K through Fidelity
• Paid Time Off (PTO)
• Educational and tuition opportunities
• Employee Assistance Program (EAP) with various discount programs offered
• Employee Recognition Programs
• Making an IMPACT!

*Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.

Other details

• Pay Type Salary