Regional MDS & Reimbursement RN Leader
Volare Health, LLC
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Benefits offered by this job
Job summary
Volare Health, LLC is seeking an experienced Clinical Reimbursement Specialist to support our Northern Oregon facilities. The role requires strong MDS/RAI knowledge, a current RN license, and a proven ability to lead across multiple sites with travel as needed.
You will supervise MDS Coordinators, optimize reimbursement through accurate assessments, and collaborate with interdisciplinary teams to ensure CMS Five-Star ratings and quality measures are upheld across facilities.
Qualifications
- Experience with MDS/RAI processes and CMS Five-Star responsibilities.
- Active RN license in Oregon or a compact state.
- Background in multi-facility support and reimbursement optimization.
Responsibilities
- Act as a clinical resource for MDS Coordinators across Northern Oregon facilities.
- Monitor Medicare/Medicaid data accuracy to maximize reimbursement.
- Support accurate and timely claims and billing processes.
- Educate IDT members on CMS Five-Star Ratings and Quality Measures.
- Lead audits for new systems, policies, and training programs.
- Participate in QAPI data analysis and action planning.
- Assist in preparation for state and federal surveys and mock surveys.
Skills
Education
Tools
Job description
Volare Health, LLC is seeking an experienced Clinical Reimbursement Specialist to support our Northern Oregon facilities. The role requires strong MDS/RAI knowledge, a current RN license, and a proven ability to lead across multiple sites with travel as needed.
You will supervise MDS Coordinators, optimize reimbursement through accurate assessments, and collaborate with interdisciplinary teams to ensure CMS Five-Star ratings and quality measures are upheld across facilities.
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