Clinical Reimbursement Specialist - RN

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

Job summary

An established industry player is seeking a Clinical Reimbursement Specialist to join their dynamic team. This part-time role offers a unique opportunity to work collaboratively with healthcare professionals to ensure accurate resident assessments and reimbursement processes. With a commitment to exceptional training and development, you'll thrive in a luxury work environment while making a meaningful impact on the lives of older adults. Enjoy competitive pay, generous paid time off, and a supportive culture that values your contributions. If you are a dedicated Registered Nurse looking to advance your career in a rewarding setting, this position is perfect for you.

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

Responsibilities

• Collaborates with various disciplines to assist in the completion of the Minimum Data Set (MDS).
• Tracks Medicare/Managed Care/Medicaid case mix documents to ensure appropriate reimbursement.

Skills

Effective communication skills

Knowledge of case-Mix

Proficiency in Microsoft Office

Problem solving

Education

Graduation from a School for Registered Nursing

Current State Licensure as a Registered Nurse

CPR/AED certifications

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

Collaborates with the DON, CRM (where applicable), and various disciplines to assist in the completion of the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. Ensures completion of assessments within mandated timeframes, manages resident assessment processes, and tracks Medicare/Managed Care/Medicaid case mix 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 Licensure as a Registered Nurse and CPR/AED certifications required.

Key Competencies

• Courteous and professional demeanor
• Resident and customer-focused problem solving
• Discretion with confidential information
• Knowledge of case-Mix, Medicare PPS, OBRA regulations, and CCRC operations
• Effective communication skills
• Proficiency in Microsoft Office
• Sensitivity to the needs of older adults

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

Additional Details

• Seniority level: Entry level
• Employment type: Part-time
• Job function: Healthcare provider