Clinical Reimbursement Manager, RN - Regional

Genesis; Albuquerque (NM); Remote; USD 80,000 - 100,000; Full time

Job summary

Genesis is seeking a Clinical Reimbursement Manager, RN - Regional, dedicated to improving care quality. The position involves guiding MDS processes and enhancing reimbursement performance within nursing centers in New Mexico. Candidates should be RN licensed and experienced in Medicare and Medicaid standards, with strong analytical skills and a commitment to compliance.

Benefits

Variable compensation plans

Tuition, Travel, and Wireless Service Discounts

Employee Assistance Program

Diverse and Inclusive workplace

Health, Dental, Vision insurance

401K

Paid Time Off

Nursing Tuition Assistance Program

Qualifications

• Graduate of an approved school of nursing as RN or equivalent professional license.
• Medicare and Medicaid experience required.
• Willingness to travel for onsite presence.

Responsibilities

• Model MDS process and guide MDS Coordinators and nursing teams.
• Enhance center-level Quality Measure results.
• Provide guidance for compliance auditing related to MDS.

Skills

MDS process expertise

Compliance auditing

Analytical skills

Education

Registered Nurse License

Equivalent professional license (e.g., Physical Therapist)

Job description

Clinical Reimbursement Manager, RN - Regional

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This range is provided by Genesis. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$95,000.00/hr - $105,000.00/hr

Overview

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

This position is remote with some travel to the centers in NM. Must reside in an area new NM for easy travel.

Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards providing direct guidance to MDS Coordinators and nursing center teams to position the Market for Clinical Reimbursement performance achievement.

• Leverage knowledge and experience to enhance and improve center-level Quality Measure results to position the Market for Quality Measure success and improved Star Ratings
• Identify MDS opportunities and partners with Nursing Home Administrators to create specific MDS training goals and provides on-going support for the MDS Coordinators to meet those goals.
• Provide guidance, oversight, and direction for compliance of auditing activities and investigations related to MDS and reimbursement.
  
  

Qualifications

• Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (i.e. Physical Therapist)
• Must have Medicare and State-specific Medicaid experience (as applicable).
• Must be willing to travel as this position requires an onsite presence the majority of the time.
  
  

Benefits

• Variable compensation plans
• Tuition, Travel, and Wireless Service Discounts
• Employee Assistance Program to support mental health
• Employee Foundation to financially assist through unforeseen hardships
• Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.
• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
• Nursing Tuition Assistance Program
  
  

We Also Offer Several Voluntary Insurances Such As

• Pet Insurance
• Term and Whole Life Insurance
• Short-term Disability
• Hospital Indemnity
• Personal Accident
• Critical Illness
• Cancer Coverage
  
  

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $95,000.00 - USD $105,000.00 /Hr.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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