RN: Regional Assessment & Reimbursement Leader

Communicare-Health-Services; Indianapolis (IN); On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

Competitive wages

PTO

Medical insurance

Dental coverage

Vision coverage

401(k) with employer match

Flexible Spending Accounts

Job summary

CommuniCare Health Services is seeking an RN Regional Assessment and Reimbursement Coordinator in the Indianapolis area. You will provide training and guidance on the Resident Assessment Instrument (RAI) and Medicare/Medicaid reimbursement, ensuring program integrity across multiple centers.

The ideal candidate holds an RN license in their primary state, with 3+ years as a trainer in reimbursement systems and RAI, plus multi-facility management experience.

Qualifications

• Registered Nurse license in primary state of residence.
• Minimum of 3 years as a trainer in Medicare, Medicaid, RAI and contract reimbursement systems.
• Multi-facility management experience preferred.

Responsibilities

• Interpret State and Federal regulations and Medicare/Medicaid changes.
• Provide comprehensive training on patient assessment, reimbursement, and clinical software.
• Monitor center reimbursement and clinical services for accuracy.
• Guide implementation of case management processes and program integrity.
• Oversee accuracy of RAI processes through chart reviews, discussion, and documentation.
• Recruit and orient RACs as needed.
• Build rapport with regional and center teams and communicate concerns.

Skills

Training delivery

Regulatory knowledge

Medicare/Medicaid

RAI knowledge

Client education

Education

RN License

Job description

CommuniCare Health Services is seeking an RN Regional Assessment and Reimbursement Coordinator in the Indianapolis area. You will provide training and guidance on the Resident Assessment Instrument (RAI) and Medicare/Medicaid reimbursement, ensuring program integrity across multiple centers.

The ideal candidate holds an RN license in their primary state, with 3+ years as a trainer in reimbursement systems and RAI, plus multi-facility management experience.