Clinical Reimbursement Manager, RN - Regional

Genesis HealthCare; Santa Fe (NM); Remote; USD 95,000 - 105,000; Full time

Job summary

Genesis HealthCare is seeking a Clinical Reimbursement Lead to enhance clinical reimbursement performance in New Mexico. This remote position involves guiding MDS Coordinators and improving Quality Measure results while fostering a supportive work environment. Candidates must hold a nursing license and have experience with Medicare and Medicaid.

Benefits

Variable compensation plans

Tuition discounts

Employee Assistance Program

Health, dental, vision insurance

401(k) plan

Paid time off

Nursing Tuition Assistance Program

Qualifications

• Graduate of an approved school of nursing.
• Experience with Medicare and State-specific Medicaid.
• Willingness to travel for onsite presence.

Responsibilities

• Model the MDS process and provide guidance to MDS Coordinators.
• Identify MDS opportunities and set training goals for nursing center teams.
• Ensure compliance with auditing activities related to MDS and reimbursement.

Skills

Knowledge of MDS process

Experience with Medicare

Experience with Medicaid

Education

Registered Nurse license

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

Job description

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 foster 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 various 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 centers in NM. Must reside in New Mexico 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 achieve clinical reimbursement performance goals. Responsibilities include:

1. Leveraging knowledge and experience to improve center-level Quality Measure results, enhancing Star Ratings.
2. Identifying MDS opportunities and partnering with Nursing Home Administrators to set training goals for MDS Coordinators, providing ongoing support.
3. Providing guidance, oversight, and direction for compliance with 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 an equivalent professional license (e.g., Physical Therapist).
• Experience with Medicare and State-specific Medicaid (as applicable).
• Willingness to travel, as this position requires onsite presence most of the time.

Benefits

• Variable compensation plans
• Tuition, travel, and wireless service discounts
• Employee Assistance Program for mental health support
• Employee Foundation for financial assistance during hardships
• Diverse, equitable, and inclusive workplace with a DEI committee
• Health, dental, vision, company-paid life insurance, 401(k), paid time off
• Nursing Tuition Assistance Program

Additional voluntary insurances include pet insurance, life insurance, short-term disability, hospital indemnity, personal accident, critical illness, and cancer coverage. Restrictions may apply based on agreements, law, and other factors.

Posted Salary Range

USD $95,000.00 - USD $105,000.00 per year.