Clinical Reimbursement Specialist - RN

VI HEALTHY LIVING LTD; Burlingame (CA); On-site; USD 150,000 - 200,000; Part time

Job summary

An established industry player is seeking a Clinical Reimbursement Specialist (CRS) to join their team. This part-time role involves collaborating with nursing staff to manage resident assessments and ensure compliance with federal regulations. The ideal candidate will have a passion for working with seniors and possess strong problem-solving and communication skills. With a luxury work environment and exceptional benefits, this position offers a rewarding opportunity to contribute to meaningful care for older adults. Join a company recognized as a Great Place to Work and help enhance the lives of residents through quality care.

Benefits

Competitive Pay

Exceptional Benefits

Generous Paid Time Off

401k with Company Match

Paid Maternity and Paternity Benefits

Tuition Reimbursement

Luxury Work Environment

Award-winning Training and Development

Qualifications

• Graduation from a nursing school and active RN license required.
• Minimum 1 year experience in MDS/Clinical Reimbursement role preferred.

Responsibilities

• Collaborates to complete MDS and RAI assessments.
• Tracks Medicare/Managed Care/Medicaid case mix documents.

Skills

Problem Solving

Communication Skills

Teamwork

Discretion

Resident and Customer Focus

Education

Graduation from a School for Registered Nursing

CPR and AED Certifications

First Aid Certification

Tools

Microsoft Office

Job description

Overview

Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to Work For. Learn from the best and accelerate your career with Vi.

What We Offer:

• Competitive pay
• Exceptional benefits
• Generous Paid Time Off - starts accruing on day one
• 401k with company match
• Paid maternity and paternity benefits
• Award-winning training and development
• Tuition Reimbursement
• Luxury work environment
• Meaningful and rewarding work

Vi at Palo Alto is located at 620 Sand Hill Road, Palo Alto, CA 94304.

Responsibilities

Clinical Reimbursement Specialist (CRS) – RN

Collaborates with the DON, CRM (where applicable), and various disciplines to assist in completing the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON or CRM (where applicable), the CRS ensures completion of assessments within the timeframe mandated by federal regulations and company policies. The CRS manages the overall resident assessment process and tracks all Medicare/Managed Care/Medicaid case mix documents to ensure appropriate reimbursement for services provided. Responsibilities also include assisting with resident care planning under the direction of the DON or CRM (where applicable). Performs other duties as assigned.

Note: THIS IS A PART-TIME POSITION.

Qualifications

Education and Experience:

• Graduation from a School for Registered Nursing is required.
• Minimum 1 year of experience in an MDS/Clinical Reimbursement Nurse role is preferred.
• Current State Licensure as a Registered Nurse is required.
• Current CPR and AED certifications are required.
• Current First Aid certification is required or must be willing to obtain it. Food handlers certification, where required.

Key Competencies:

• Courteous and professional interactions.
• Resident and customer-focused problem solving and goal setting.
• Discretion in handling confidential information, with adherence to privacy laws.
• Knowledge of case-mix and Federal Medicare PPS process.
• Understanding of Quality Indicator Process and OBRA regulations.
• Knowledge of regulatory compliance and CCRC operations.
• Good communication skills and ability to work in a team environment.
• Proficiency in Microsoft Office.
• Sensitivity to the needs of older adults and enjoyment working with seniors.

The application window is anticipated to close within 30 days of the posting date.

Pay Range: USD $46.60 - USD $58.26 per hour.