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Clinical Reimbursement Specialist - RN

VI HEALTHY LIVING LTD

Daly City (CA)

On-site

USD 150,000 - 200,000

Part time

17 days ago

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Job summary

An established industry player is seeking a dedicated Clinical Reimbursement Specialist - RN to join their team. This part-time role offers a unique opportunity to work in a supportive and dynamic environment, ensuring residents receive the best care possible. You will collaborate with various disciplines to complete essential assessments and manage reimbursement processes. With competitive pay and generous benefits, including paid time off and tuition reimbursement, this position is perfect for those looking to make a meaningful impact in healthcare while advancing their career. Join a team that values professional growth and a luxury work environment.

Benefits

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

Qualifications

  • Graduation from a School for Registered Nursing is required.
  • Minimum 1 year of experience in an MDS/Clinical Reimbursement Nurse role preferred.

Responsibilities

  • Collaborates with the DON and CRM to assist in completing the Minimum Data Set (MDS).
  • Manages resident assessment process and tracks Medicare/Managed Care/Medicaid documents.

Skills

Clinical Reimbursement
Communication Skills
Microsoft Office
Problem Solving

Education

Registered Nursing Degree

Job description

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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 - start 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. Ensures completion of assessments within mandated timeframes. Manages resident assessment process and tracks Medicare/Managed Care/Medicaid documents to ensure appropriate reimbursement. Assists with resident care planning under the direction of the DON or CRM. 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 preferred.
  • Current State RN licensure, CPR, and AED certifications required.
  • First Aid certification required or willingness to obtain it. Food handlers certification as needed.
Key Competencies
  • Professional demeanor and courteous interactions.
  • Resident and customer-focused problem solving.
  • Discretion in handling confidential information, adhering to privacy laws.
  • Knowledge of case-Mix, Federal Medicare PPS, OBRA regulations, and regulatory compliance.
  • Effective communication skills and teamwork.
  • Proficiency in Microsoft Office.
  • Sensitivity to the needs of older adults and enjoyment working with seniors.

The application window closes within 30 days. Pay range: USD $46.60 - $58.26/hr.

Additional Details
  • Seniority level: Entry level
  • Employment type: Part-time
  • Job function: Health Care Provider
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