RN Clinical Reimbursement Coordinator

Overview Located on approximately 10 acres of land adjacent to Florida Hospital, Apopka Health and Rehabilitation Center is designed with a split floor plan to provide resident privacy. The 101,811 square foot center includes 36 private and the 72 semi-private well-appointed suites for a total of 180 beds. Enclosed exterior courtyards feature multiple access points and plenty of shaded areas to maximize resident comfort and relaxation. A large state-of-the-art therapy gym opens onto a courtyard featuring an occupational therapy track or mobility garden. Residents enjoy daily activities in addition to an on-site movie cinema. Responsibilities RN Clinical Reimbursement Coordinator Our center is seeking a candidate that can lead the center Clinical Reimbursement department to provide reimbursement process-related support in accordance with the requirements of the Federal and State regulations, Resident Assessment Instrument (RAI) manual, Managed Care contracts and Company policy and procedure. Responsibilities include: Working directly with the Director of Nursing Services (DNS) to ensure that clinical systems and documentation support the care and services provided Providing ongoing Quality Measure (QM) training to the department, tracks facility QMs, and works with the DNS on the development of improvement plans Monitoring PointClickCare (PCC) scheduler and Dashboard routinely and assigning work within the department to ensure timely completion of assessments Coordinating and participating in the onboarding and preceptorship of new Minimum Data Set Coordinators (MDSCs) in the completion of the resident assessment (MDS) in accordance with current Federal and state rules, regulations, and guidelines that govern the resident assessment Maintaining a high level of knowledge of regulatory requirements and advising the appropriate UR team members on deficits or concerns related to process and protocol surrounding RAI accuracy or inefficiency Acting as a liaison for the UR department by collaborating with MDSCs and other IDT members, to implement and maintain processes that ensure quality and regulatory compliance At the direction of the Clinical Reimbursement and Revenue Retention Manager, collaborate with and assist the Manager of Clinical Reimbursement in performing auditing and correction tasks related to quality outcomes, survey successes, and integrity Fully or partially completing all OBRA assessment types, all PPS assessment types, and assessment item sets for HMO/Insurance payers as determined by facility status and needs Benefits What's in it for you? Earned Wage Access - Opportunity for Next Day Pay. Robust Tuition Assistance Program. Career ladders and career development opportunities. 401k with Match After Only 90 Days. 100% match up to 3%; 50% match up to 5% Medical (several great plans to choose from), dental, vision and life insurance Paid Time off and/or Vacation Time and Holiday Pay Benefits may vary based on employment status Qualifications A current license in good standing to practice as a Registered Nurse in Florida Clinical experience, education, or specialty skills specific to geriatrics Highly knowledgeable and demonstrates understanding of state and federal regulations and guidelines governingthe practices related to the RAI process, Managed Care, and applicable reimbursement models Effective interpersonal skills and the ability to lead the Clinical Reimbursement department, and work withmembers of the Corporate and Regional support teams, and other members of the facility interdisciplinary careteams Able to integrate and function as a Department team leader and member in the development and advancement ofstated goals, policies, and philosophies. Come join our family where our team members dedicate themselves to love without limits and where they live by the standards of our safety-first, family always philosophy Click Apply to join us. Go to our website for more info and career opportunities