Regional MDS & PDPM Reimbursement Consultant

SanStone Health & Rehabilitation; Greensboro (NC); On-site; USD 65,000 - 85,000; Full time

Job summary

A leading health care provider is seeking a Clinical Reimbursement Consultant to support nursing facilities in North Carolina. This role requires strong knowledge of the RAI process and involves providing education and leadership to staff. Applicants should possess a nursing license and relevant experience, with excellent communication skills and the ability to work under pressure. The position is full-time with responsibilities including program improvement and compliance with state and federal regulations.

Qualifications

• Current license as a Registered Nurse issued by the State Board of Nursing.
• Minimum 3+ years’ experience with the RAI process.
• Ability to travel.

Responsibilities

• Provides leadership and acts as a resource for regional staff.
• Conducts regular monitoring of facility Medicare management.
• Supports accurate claims and billing.

Skills

Registered Nurse License

Knowledge of PDPM

Customer service skills

Effective communication

Leadership

Attention to detail

Education

Bachelor’s or Associate degree in nursing

Tools

Microsoft Word

Microsoft Excel

Microsoft Power Point

Job description

A leading health care provider is seeking a Clinical Reimbursement Consultant to support nursing facilities in North Carolina. This role requires strong knowledge of the RAI process and involves providing education and leadership to staff. Applicants should possess a nursing license and relevant experience, with excellent communication skills and the ability to work under pressure. The position is full-time with responsibilities including program improvement and compliance with state and federal regulations.