PRN MDS/RAI Coordinator — RN

Benedictine Health System; Hastings (MN); On-site; USD 62,000 - 73,000; Full time

Job summary

Benedictine Health System in Minnesota is seeking a Clinical Reimbursement Manager (RN) to oversee coordination of clinical payment programming and to serve as the liaison for MDS/RAI processes with internal and external partners.

The role requires active RN licensure, strong knowledge of long-term care regulations, and expertise in RAI/MDS, Medicare, Medicaid. You will collaborate with teams to ensure appropriate coverage and optimize reimbursement while supporting residents and staff.

Qualifications

• Must hold an active RN license in good standing.
• Knowledge of state and federal regulations governing long-term care facilities.
• Familiarity with RAI/MDS/Care Planning, Medicare, private insurers, and Medicaid processes.

Responsibilities

• Maintain communication between internal and external partners.
• Analyze services and interventions with the team.
• Communicate with payers to ensure when coverage is appropriate.

Skills

Regulatory knowledge

Education

RN licensure (state)

Job description

Benedictine Health System in Minnesota is seeking a Clinical Reimbursement Manager (RN) to oversee coordination of clinical payment programming and to serve as the liaison for MDS/RAI processes with internal and external partners.

The role requires active RN licensure, strong knowledge of long-term care regulations, and expertise in RAI/MDS, Medicare, Medicaid. You will collaborate with teams to ensure appropriate coverage and optimize reimbursement while supporting residents and staff.