Regional Reimbursement Consultant

We are seeking an experienced Regional Reimbursement Consultant to join our team!

DRIVEN BY EXPERTISE, GUIDED BY COMPASSION. At Avir Health Group, we blend empathy, understanding, and clinical expertise to deliver personalized skilled nursing, rehabilitation, and long-term care services across Texas.

Candidates should be able to perform the essential responsibilities as well as meet the qualifications listed.

Exciting Benefits:

• Competitive compensation.
• 401k with a match!
• Company paid holidays and Paid Time Off (PTO) Program.
• Health insurance for the entire family!
• Scrubs on Wheels.
• Voluntary Benefits reviewed and provided at your one-on-one benefit meeting.
• Exceptional Corporate Support.
  
  
  

Qualifications:

• Must be licensed as a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in this state.
• Must have experience as an MDS Coordinator in a skilled nursing facility.
• Willing to travel.
• Must have an understanding of gerontology and the application of its principles to meet the overall needs of older people.
• Proven working knowledge of all functional departments in long-term care facilities.
• Minimum of 2 years Director of Nursing experience, preferably Regional Consultant.
  
  
  

Responsibilities:

• Oversee the RAI process timely, for multiple facilities
• Ability to teach/train the MDS process to newly hired MDS Coordinators
• Review QA minutes and attend facility QA meetings as needed.
• Monitor Quality of Care Meeting minutes and attendance needed.
• Monitor Facility Quality Measures, including assisting facilities leadership to develop strategies to improve Quality Measures and State/Federal Specific Quality Assurance programs and regulations.
• Monitor Compliance with QIPP QMs improvement and QIPP PIPs implementation and monthly tracking/trending.
• Assist Regional Director as needed and instructed.
• Support Facility Clinical Operations as Interim Director of Nursing as needed.
• Prepare and present facility and regional reports for Facility and Regional Leadership teams and review the key performance indicators related to QMs and QIPP for a specific region.
• Responsible to review facility QAPI Monthly Committee compliance
• Maintains and demonstrates current knowledge in various clinical care and the provision of quality care as outlined in national standards, measurements and accreditations. Collaborate on implementing solutions to improve facility Regulatory performance within specific region.
• Effectively communicates (written and verbal), manages relationships and is able to influence positive behaviors, conflict management & problem solving and incorporates shared decision making into decision making processes.
• Promotes leadership, serves as a role model/mentor, critically analyzes organizational issues, promotes system thinking, integrates various viewpoints for the good of the organization, serves as a change agent and exhibits creativity and flexibility.
• Assist with each entity’s regulatory accreditation survey preparation and process.
• Discuss quality standards and how to accomplish them with other employees.
• Conducts internal audits of quality assurance programs to ensure their effectiveness in meeting organizational goals.
  
  
  

About the Company:

We strive to create an environment where people feel safe, heard and understood. Our leadership teams embrace our “Your Voice” philosophy.

Avir Health Group is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.