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Director of Clinical Reimbursement

Eduro Healthcare Salt Lake City, UT
  • Expired: over a month ago. Applications are no longer accepted.

Eduro Healthcare is looking for a Director of Clinical Reimbursement! Come be part of a growing team!

PRIMARY RESPONSIBILITIES:

  • Provide consultative support and training to all MDS Coordinators within the various centers we serve to coordinate and guide superior resident centered care in the LTC setting.
  • Overseeing the accuracy of MDS completion to optimize resident care and profitability to ensure clinical and financial objectives are met.
  • Assist the interdisciplinary teams with care planning.
  • Provide additional guidance related to clinical documentation and coding as it relates to the RAI.
  • Provide support to achieve and maintain 5 Star Quality Measure Rating.
  • Auditing and monitoring for continuous improvement in RAI timeliness and accuracy of information to ensure regulatory compliance.
  • Monitoring and analyzing reports to identify trends and develop processes and action plans to achieve company goals. Must be able to perform and present root cause analysis.
  • Provide ongoing education, support, and make recommendations to optimize quality of care delivery and financial outcomes.
  • Effectively problem solve and communicate with the center Admins and other members of the leadership team to mitigate and resolve issues that prevent compliance or the achievement of goals.
  • Must be able to clearly and effectively present information both one-on-one and in small or large groups.
  • Work as and advocate for the MDS Coordinators in relationship to center leadership, Eduro Healthcare leadership, and the interdisciplinary team.
  • Maintain the most current knowledge of state and federal guidelines and regulations specific to skilled nursing and long-term care related to the RAI and reimbursement.
  • Other duties as assigned.

EDUCATION and QUALIFICATION:

  • Must possess a current valid RN license.
  • Must have a minimum of 3 years of experience as an MDS Nurse in the LTC setting.
  • Must have RAC-CT certification.
  • Must be familiar with the CMS reimbursement system.
  • Possess knowledge of state and federal regulations, both clinical and financial, as it relates to the RAI process and reimbursement systems.
  • Must be willing to travel
  • Proficient with computers and software such as Microsoft Office, EMRs, and therapy software. Prefer experience with PointClickCare and Optima.

JOB SKILLS:

  • Must have strong oral and written communication skills.
  • Must be detail oriented with an ability to work well both independently and in a team setting.
  • Strong time management skills required. Must be able to prioritize and adhere to competing deadlines.
  • Must have strong research and writing skills.

Eduro Healthcare

Why Work Here?

Certified Best Place to Work, Great Culture, Innovative Space, Amazing Management

We believe that life begins outside of our comfort zone. That is why Eduro Healthcare is unlike any other skilled nursing, rehabilitation, home health, or hospice provider. We can challenge our patients to do things they’ve never done before because we challenge ourselves to do the same every day.

Address

1376 E 3300 S Millcreek, UT 84106
Salt Lake City, UT
USA

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