CareOne

Clinical Reimbursement Coordinator

US-VA-Richmond
Requisition ID
2017-4351
Position Category
Nursing
Position Type
Full-Time (37.5+)

Overview

Balance Life & Work with a New Career Opportunity

 

 

Now Hiring - Clinical Reimbursement Coordinator - Richmond, VA

 

GLENBURNIE REHABILITATION & NURSING CENTER

 

The mission of GLENBURNIE REHABILITATION AND NURSING CENTER is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees.

 

We are proud to Offer:

  • Competitive Salary
  • Comprehensive Healthcare Benefits
  • 401k Retirement Plan
  • Paid Time Off
  • Opportunities to advance and grow your career
  • And More!

 

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility!

 

We are an Equal Opportunity Employer

EEO/AA/M/F/DV

Responsibilities

The Clinical Reimbursement Coordinator assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist. The Clinical Reimbursement Coordinator is also responsible for regulatory compliance and quality improvement efforts in order to attain appropriate Medicare or Managed Care reimbursement. This position integrates information from all necessary disciplines to maintain accuracy and compliance with the MDS process. By conducting concurrent MDS reviews, he/she assures the achievement of maximum allowable RUG categories. Working collaboratively with facility team members, the CRC ensures that services offered meet or exceed federal, state and company standards and serves as a role model for ethical business practices according to health standards.

 

 

Qualifications

Position Requirements:

  • Graduate of an approved RN program
  • Current RN license in the state and credentials as required
  • Prior experience in Medicare reimbursement and/or MDS experience preferred
  • Knowledge of Managed Care reimbursement systems
  • Word processing and computer skills
  • Excellent oral and written communication skills
  • Excellent ability to maintain an effective, friendly working relationship with others
  • Basic mathematic ability; ability to use calculator
  • Knowledge of quality improvement process, how it affects the 5 Star report, and ability to identify issues or trends and implement corrective action plans as needed
  • Knowledge of the 5 Star report
  • Excellent attention to detail; well organized
  • Ability to provide one-on-one or small group education related to identified areas of need

Shift

1st

License Required / Type

RN

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