Regional Clinical Reimbursement Specialist (RCRS)

Saber Healthcare Group


Date: 7 hours ago
City: Lynchburg, VA
Contract type: Full time
Saber Healthcare is seeking an Experienced Registered Nurse to join our team as a Regional Clinical Reimbursement Specialist!

Come work for a team that truly appreciates you and rewards you for all the hard work you do! In addition to new wages, we also have a comprehensive benefit package that is right for you!

Advantages:

  • On Demand Pay-get paid tomorrow for work done today!
  • Competitive Salaries!
  • Great Benefits and PTO Packages!
  • Divisional Support as an RCRS!


Benefits and Perks*:

  • DAILY Pay!
  • Benefit eligibility the first of the month following 30 days
  • Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution.
  • 401K through Fidelity
  • Employer-paid life insurance (FT employees)
  • Robust Employee Assistance Program
  • Generous Paid Time Off (PTO)
  • Educational, leadership, and tuition opportunities
  • Various discount programs offered, including discounted childcare programs through KinderCare
  • Wellness programs offered through WebMD
  • Employee recognition programs
  • Culture of employees creating an IMPACT!


POSITION SUMMARY:

As Regional Clinical Reimbursement Specialist, you are delegated the administrative authority and accountability necessary for carrying out your assigned duties. You are responsible for the functions of the reimbursement department at each facility in your region. This position assumes a primary role in RAI process.

Qualifications/Responsibilities:

  • Must possess a current, unencumbered, active license to practice as a Registered Nurse in the state of employment.
  • Must have proven leadership ability with a minimum of one (1) year of experience in nursing service administration.
  • Implements policies and procedure for Clinical Reimbursement in the Region.
  • Monitors achievement of goals and objectives for the facility in regard to clinical assessments and reimbursement consistent with established philosophy and standards of practice.
  • Monitors Quality Indicators and Quality Measures to ensure the appropriate information within the MDS assessments is accurately identified.
  • Conducts facility reviews to assure the facility is in compliance with timeframes and accuracy of the MDS.
  • Assure care planning and care conferencing is taking place according to the state and regulatory guidelines.
  • Schedules periodic site visits to provide supervision, clinical expertise, ensure communication and to monitor the overall operation of reimbursement department.
  • Provide in-service training and orientation to facility staff regarding the MDS, ADL’s and accuracy.


Shift and Wage:

  • Full-Time Opportunity
  • Shift: Varies
  • Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.


We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, disability, religion, age and military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.

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