Mission Health Communities
  • Mission Health Corporate
  • GA, USA
  • Salary
  • Full Time

Highly contributed medical, dental, vision + PTO + Holiday Pay + 401k

Mission Health is seeking a Registered Nurse with a current GA nursing license, and extensive MDS, PPS, and Georgia Case Mix experience to join our regional team. The Regional Clinical Reimbursement Manager assures the management of the Medicare, Managed Care and Medicaid reimbursement system for a regional specific number of Skilled Nursing Facilities. In this role you will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicare/Medicaid reimbursement for assigned facilities.

The ideal candidate will have excellent interpersonal and communications skills, have a solid work ethic, be a resource for the assigned facilities, and be able to travel extensively. This position reports to the VP of Clinical Reimbursement and will be responsible for 8 SNFs in GA.

 Essential Functions:
•Implement and direct Medicare and Medicaid auditing and system review during facility visits
•Timely completion of facility visit reports
•Provide interdisciplinary Team Training
•Provide ongoing education to the facility Clinical Reimbursement Coordinators
•Assist in hiring and training new CRC
•Participate in regional team audits
•Understand and assist facilities with financial and clinical analysis related to the RAI process
•Oversee the clinical component of PPS, and RUG utilization
•Assist the facility CRC as needed

If you are an RN, have experience with the essential functions above and can travel throughout the state of Georgia, I welcome you to apply.


Mission Health Communities
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