RN Clinical Reimbursement Manager MDS

Benedictine University; La Crosse (WI); On-site; USD 111,751,000 - 136,192,000; Full time

Benefits offered by this job

Benefits package

Sign-on bonus

Job summary

Benedictine Living Community-La Crosse in La Crosse, WI is seeking an RN Clinical Reimbursement Manager to oversee MDS/RAI processes and clinical payment programming.

The role requires an RN in good standing, knowledge of long-term care regulations, and coordination with payers to ensure appropriate coverage. This is a full-time position with days 8 AM - 4:30 PM.

Qualifications

• RN licensure in good standing.
• Knowledge of state and federal regulations for long-term care facilities.
• Knowledge of 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 coverage is appropriate.

Skills

RN licensure

Regulatory knowledge

MDS knowledge

Job description

JOB REQUIREMENTS

RN Clinical Reimbursement Manager - MDS Nurse Job

Locations USA-WI-La Crosse Campus Name Benedictine Living Community-La Crosse

Category Nursing Administration Position Type Full-Time Shift

Days Specific Shift Times 8 AM - 4:30 PM Scheduled Days of the Week Monday - Friday

Weekend Work Requirement Varies Salary Range $39.00 - $47.53 / hour

Overview Do you have attention for detail and enjoy exceeding outcome measures\...join our team! Our Clinical Reimbursement Manager oversees the coordination of all clinical payment programming.

Also, our Clinical Reimbursement Managers serves as a point of contact to maintain coordination of the MDS and RAI process.

Responsibilities

The Clinical Reimbursement Manager maintains communication between internal and external partners. The Clinical Reimbursement Manager analyzes services and interventions with the team. The Clinical Reimbursement Manager communicates with responsible payers to ensure When Coverage Is Appropriate. Qualifications Current State Licensure As

a Registered Nurse (RN), in good standing. Knowledge of current state and federal regulations governing long-term care facilities. Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.

Benedictine and our Ministry partners are a non-profit senior care organization founded by the sisters of St. Scholastica that operates on four core values: Hospitality, Stewardship, Respect, and Justice. We pride ourselves on having an extraordinary team of associates, with outstanding hearts. Our focus is to provide a comforting and empowering culture for our residents and our team members, to help you grow and succeed. With opportunities available throughout the upper Midwest, we need big hearts like yours!

EEO/AA/Vet Friendly Salary Range $39.00 - $47.53 / hour

Benefits Statement

• A robust benefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntary benefits.
• Additional Information $10,000 Sign on Bonus #BHSLaCrosse \*\*\*\*\*