RN Clinical Reimbursement & MDS Care Coordinator

Benedictine; Saint Paul (MN); Presencial; USD 78.000 - 113.000; Jornada completa

Descripción de la vacante

Benedictine Living is seeking a Clinical Reimbursement Manager to oversee the coordination of clinical payment programming and to serve as a primary contact to maintain coordination of the MDS and RAI process. The role emphasizes ensuring clear communication between internal and external partners and adherence to policy.

The ideal candidate is a Registered Nurse in good standing with knowledge of current state and federal regulations governing long‑term care, plus familiarity with RAI/MDS, Care

Formación

• Current state licensure as an 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.

Responsabilidades

• Oversees the coordination of clinical payment programming.
• Serves as a point of contact to maintain coordination of the MDS and RAI process.
• Maintains communication between internal and external partners.
• Analyzes services and interventions with the team.
• Communicates with responsible payers to ensure coverage when appropriate.

Conocimientos

Attention to detail

Payer liaison

Interdepartmental coordination

Analytical thinking

Communication with partners

Educación

Registered Nurse (RN) license

Descripción del empleo

Benedictine Living is seeking a Clinical Reimbursement Manager to oversee the coordination of clinical payment programming and to serve as a primary contact to maintain coordination of the MDS and RAI process. The role emphasizes ensuring clear communication between internal and external partners and adherence to policy.

The ideal candidate is a Registered Nurse in good standing with knowledge of current state and federal regulations governing long‑term care, plus familiarity with RAI/MDS, Care