Clinical Reimbursement Manager - RN

Benedictine; Saint Paul (MN); On-site; USD 78,000 - 113,000; Full time

Job summary

Benedictine Living is seeking a Clinical Reimbursement Manager to oversee the coordination of clinical payment programming and to serve as a primary contact to maintain coordination of the MDS and RAI process. The role emphasizes ensuring clear communication between internal and external partners and adherence to policy.

The ideal candidate is a Registered Nurse in good standing with knowledge of current state and federal regulations governing long‑term care, plus familiarity with RAI/MDS, Care

Qualifications

• Current state licensure as an 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

• Oversees the coordination of clinical payment programming.
• Serves as a point of contact to maintain coordination of the MDS and RAI process.
• Maintains communication between internal and external partners.
• Analyzes services and interventions with the team.
• Communicates with responsible payers to ensure coverage when appropriate.

Skills

Attention to detail

Payer liaison

Interdepartmental coordination

Analytical thinking

Communication with partners

Education

Registered Nurse (RN) license

Job description

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.

• 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.
• 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

$78000 - $112798 / annually

A robust benefits 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 voluntary benefits. For more information visit our website at www.benedictineliving.org.

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