Clinical Reimbursement Manager / RN

Job ID: 261218    Posted 5/9/2024


Location: Riverdale, New York


Job Type: Direct Hire


Category: Nursing


Position: 261218




Salary Low: $90000 - Salary High: $105000


Duration: 2 Weeks



Job Description

Gorgeous and well-known nursing home located in the Bronx is currently seeking an experienced Clinical Reimbursement Manager to join our dynamic team. This position comes with an amazing benefits and compensation package. Please apply for more details!

Clinical Reimbursement Manager  / RN / On-Site Role 
This position will be responsible for the assessment of the residents using the minimum data set (MDS), supportive documentation and executing the resident assessment instrument (RAI) process. Collaborates with other department to utilize objective information from the clinical documentation to drive the highest quality of care.  Performs utilization review tasks for all insurance payers.  Supports neighborhood staff in preparation for audits or Department of Health Surveys.
The successful candidates must have a valid NYS RN license; Bachelor’s degree in Nursing required, master’s degree preferred. Three years experience in coordination of facility reimbursement and maximization a must.  Completion of NYS PRI assessor program preferred; RAC-CT preferred, however if candidate does not have RAC-CT certification one must obtain within one month of hire date. Knowledge of Medicare guidelines and MDS, federal and state requirements a must. 

Compensation Range: $90,000 to $105,000


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