Clinical Reimbursement Manager - RN

Benedictine; New Brighton (MN); On-site; USD 78,000 - 113,000; Full time

Job summary

Benedictine Health System in New Brighton, MN is seeking a Clinical Reimbursement Manager (RN) to oversee clinical payment programming and coordinate MDS/RAI processes with internal and external partners.

You will analyze interventions with the care team, ensure appropriate coverage with payers, and help maintain regulatory compliance across long-term care services.

Qualifications

• Current state licensure as a Registered Nurse (RN), in good standing.
• Knowledge of current state and federal regulations governing long-term care facilities.
• Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.

Responsibilities

• The Clinical Reimbursement Manager maintains communication between internal and external partners.
• The Clinical Reimbursement Manager analyzes services and interventions with the team.
• The Clinical Reimbursement Manager communicates with responsible payers to ensure when coverage is appropriate.

Skills

Communication

Team coordination

Regulatory knowledge

Education

RN Licensure (State)

Job description

Overview

Do you have attention for detail and enjoy exceeding outcome measures…join our team!

Our Clinical Reimbursement Manager oversees the coordination of all clinical payment programming. Also, our Clinical Reimbursement Managers serves as a point of contact to maintain coordination of the MDS and RAI process.

Responsibilities

• The Clinical Reimbursement Manager maintains communication between internal and external partners.
• The Clinical Reimbursement Manager analyzes services and interventions with the team.
• The Clinical Reimbursement Manager communicates with responsible payers to ensure when coverage is appropriate.

Qualifications

• Current state licensure as a Registered Nurse (RN), in good standing.
• Knowledge of current state and federal regulations governing long-term care facilities.
• Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.

Benedictine and our Ministry partners are a non-profit senior care organization founded by the sisters of St. Scholastica that operates on four core values: Hospitality, Stewardship, Respect, and Justice. We pride ourselves on having an extraordinary team of associates, with outstanding hearts. Our focus is to provide a comforting and empowering culture for our residents and our team members, to help you grow and succeed. With opportunities available throughout the upper Midwest, we need big hearts like yours!

EEO/AA/Vet Friendly

Salary Range

$78000 - $112798 / annually

Benefits Statement

A robustbenefits package is available to eligible associates, designed to meet the needs of every stage of life, including

• paid time off (PTO)
• retirement
• medical
• dental
• vision
• education assistance
• and a variety of additional voluntarybenefits

Additional Information

#BHSNewBrighton