Regional Clinical Reimbursement Manager, RN

@ SHG - Albuquerque NM

SHG - Albuquerque NMshg-albuquerquenm.com

Regional Clinical Reimbursement Manager, RN

Albuquerque, NM

Posted 1 month ago

This job is still taking applications, but it's been up a while.

About the job

Genesis Healthcare is dedicated to high-quality care and service in long-term care. This role supports centers in NM & WA, focusing on MDS process, compliance, and improving patient and resident outcomes within a collaborative environment.

Requirements

Graduate of approved nursing school
Licensed RN or equivalent
Medicare and Medicaid experience
Willing to travel

Qualifications

Nursing license
Experience with NM & WA regulations
On-site presence required

Full job description

Overview:

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:

This position supports our centers in NM and WA. Experience with both NM and WA regulations is prefered.

Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards providing direct guidance to MDS Coordinators and nursing center teams to position the Market for Clinical Reimbursement performance achievement.

*Leverage knowledge and experience to enhance and improve center-level Quality Measure results to position the Market for Quality Measure success and improved Star Ratings
*Identify MDS opportunities and partners with Nursing Home Administrators to create specific MDS training goals and provides on-going support for the MDS Coordinators to meet those goals.
*Provide guidance, oversight, and direction for compliance of auditing activities and investigations related to MDS and reimbursement.

Qualifications:

*Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (i.e. Physical Therapist)
*Must have Medicare and State-specific Medicaid experience (as applicable).
*Must be willing to travel as this position requires an onsite presence the majority of the time.

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 $120,000.00 - USD $125,000.00 /Yr.

Show full description