Blue Cross Rn Remote Jobs in Racine, WI (NOW HIRING)

Overview
MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a full-time Senior Director of Operations.
Education:
• Required: Graduate of an accredited college or university with a bachelor's in nursing
Experience:
• Required: At least 5 years of clinical experience, with 3 or more years of experience with the RAI process
Licenses/Certificates:
• Required: Current and unrestricted RN license in state(s) assigned
• Required: RAC-CT certification upon hire or within 6 months of hire.
• Required: Valid driver license and car insurance as required by state law.
• Required: Other as required by federal, state and local standards
Other Requirements:
• Proficient knowledge of PDPM and State Case Mix Reimbursement payment systems.
• Proficient in CMS Five Star Quality Measures, and Quality RFeporting Program
• Strong knowledge in current Medicare and Managed Care requirements and federal, state, and local regulations that affect skilled clinical care delivery.
• Ability to work effectively with all persons and disciplines.
• Ability to clearly articulate the complexities of RAI assessments and care planning.
• Ability to monitor MDS Coordinators and CRS's to identify areas for growth and provide mentorship for growth, while maintaining accountability for standard operating
procedures and client outcomes.
• Must possess strong customer service skills to coordinate service delivery, including attention to clients, sensitivity to issues, identification and resolution of issues to promote positive client outcomes. Initiative, innovation,
and creativity required.
• Must have dynamic presentation skills and superior communication skills.
• Must have critical thinking skills with the ability to make good decisions and exercise sound clinical and professional judgment, with proven knowledge of quality
improvement concepts and processes.
Responsibilities
The Senior Director of Operations provides leadership and oversight to assigned Directors, MDS Coordinators and Clinical Reimbursement Specialists while partnering with facility leadership to drive reimbursement optimization, quality improvement, regulatory compliance, and operational excellence. The role combines direct consulting services with leadership responsibilities to ensure clients achieve measurable and sustainable results.
The Senior Director serves as a strategic partner to clients by identifying opportunities for improvement, developing action plans, providing education, and ensuring consulting recommendations translate into sustainable results. This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.
Qualifications
About Us:
At Key Rehab, we're shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. We're all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.
We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in today's healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.
Whether you're looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where you're valued and supported every step of the way.
We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:

• Competitive salaries with bonus opportunities
• Ample opportunities for promotion, transfer, and advancement
• Work that is meaningful, fulfilling, and provides high job satisfaction
• Reasonable working hours promoting work-life balance
• Continuing education (CE) opportunities for ongoing professional development
• Generous paid time off
• Comprehensive health, dental, and life insurance packages
• 401K with discretionary matching
• Mileage and licensure reimbursements
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options