Clinical Reimbursement MDS Consultant

Golden Living Centers 1000 Fianna Way -  Indianapolis, Indiana 46219
8/1/2017 5:56:18 PM
JOB ID: 1709168 Specialty: Nurse Management

   

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Job Advertisement

Our Clinical Reimbursement Specialist 1 at Golden Living keep our engines running. It is through your work that we are able to continue to offer a full spectrum of integrated health and wellness programs, services and products. In this position, you will keep our financial gas tanks full and ensure we have the resources we need to support the Golden Difference our high standards for what sets us apart here at Golden Living. Taking ownership of this vital position provides us with the fuel we need to continue providing excellent healthcare. Help us exceed customer expectations as a Clinical Reimbursement Specialist 1 at a Golden Living.

We are seeking a qualified and motivated individual with experience in finance who believes in our mission. The right candidate will be detail-oriented, a strong communicator, and organized with an ability to prioritize and multi-task. Ideal Clinical Reimbursement Specialist 1 candidates should also have:



Provides extensive training, analysis, advice, and consultation to the facilities, district and divisional teams within his/her area of responsibility. Ensures compliance with federal and state regulations as well as Company policy and procedures regarding state case mix/Medicare payment systems.

Essential Job Functions


  • Provides consultation, training and support concerning the Medicare and state case mix payment system for assigned area with supervision.

  • With guidance, monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant state Medicaid/Medicare payment performance.

  • Responsible for training MDS coordinators on accuracy and systems related to rates.

  • Implements and communicates facility case-mix/Medicare system and action plans to necessary parties.

  • Serves as a liaison between state and organization related to the state case-mix process, including electronic submission and state MDS requirements related to state payments.


Qualifications

- RN or completion of a Bachelors Degree in a health care or related field.
- One to three years of clinical experience in a long term care setting, which includes supervisory, administrative, or consultative capacities.
- Current knowledge of state case mix and Medicare payment systems.
- Must be capable of maintaining regular attendance.
- Must have to have ability to travel, including overnight travel.
- Must have good analytical skills and problem-solving skills.
- Must be able to train and communicate.
- Must be able to work favorably across departments.

Job: Nurse Management

Primary Location: Indiana, Indianapolis

Schedule: Full-time

Shift: Day Job

Shift Time:

Department Address: 1000 Fianna Way*

Department City: Indianapolis

Department State: IN

Department Zipcode: 46219

Organization: Golden Living Centers

Company Profile

Golden Living is a family of healthcare companies - Golden Living, Golden LivingCenters, Aegis Therapies, AseraCare and 360 Healthcare Staffing - committed to enhancing the lives of the patients we care for. Here, you'll find some of the best professionals in healthcare working together to provide the highest level of care to every patient and resident we serve. And with five companies providing healthcare services across a continuum of care, we're able to offer career opportunities that fit almost anyone's background or level of experience. From where you work to how you work to everything in between, we're confident that at Golden Living, you'll find exactly what you're looking for in your career.

Indianapolis, IN
Indianapolis, Indiana


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