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Clinical Reimbursement Coordinator, RN

Orono Commons

Orono Commonsoronocommons.com

Clinical Reimbursement Coordinator, RN

Orono, ME
Posted 4 weeks ago

About the job

Genesis Healthcare provides high-quality care in long-term settings. As a Clinical Reimbursement Coordinator, you'll manage Medicare/Medicaid documentation, review care plans, and ensure compliance, supporting patient well-being and reimbursement accuracy.

Requirements

  • RN license or LPN with MDS experience
  • Long-term care experience
  • Knowledge of Medicare/Medicaid
  • Strong attention to detail
  • Ability to handle concurrent reviews

Qualifications

  • Graduate of accredited Nursing School
  • Current RN licensure
  • One year long-term care experience
  • Excellent organizational skills
  • Reliable and detail-oriented

Full job description

Overview:
Orono seeks full time, MDS/ clinical reimbursement coordinator. Monday through Friday, on-call requirements, 8 hour shifts. Experience in long term care preferred.
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities:
The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care.
*Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
*Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.
Qualifications:
*Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.
*At least one year of long-term care nursing experience is required.
Benefits:

*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $83,200.00 - USD $98,800.00 /Yr.
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