RNAC **Mon-Fri position

Premier Healthcare, LLC; Ardmore (PA); Sur place; USD 110 000 - 150 000; Plein temps

Résumé du poste

Premier Healthcare, LLC seeks an experienced MDS Clinical Reimbursement Director for Saunders Nursing and Rehabilitation Center in Pennsylvania to lead reimbursement strategies and ensure compliant MDS assessments and billing.

You will work with an interdisciplinary team, drive PDPM optimization, report on financial performance, and mentor staff to improve revenue and patient care outcomes.

Qualifications

• Current RN license in Pennsylvania.
• Experience with MDS, Medicare/Medicaid regulations.
• Strong PDPM experience.
• Ability to interpret complex data and optimize reimbursement.
• Excellent communication and leadership with stakeholders.

Responsabilités

• Develop and implement strategies to optimize reimbursement and maximize revenue.
• Collaborate with interdisciplinary team to ensure accurate MDS assessments and documentation.
• Analyze financial performance and identify optimization opportunities.
• Maintain relationships with payors and government agencies to improve rates and terms.
• Lead and mentor reimbursement staff and contribute to strategic planning.

Connaissances

MDS reimbursement

PDPM experience

Analytical skills

Leadership

Communication skills

Formation

RN license (PA)

Description du poste

MDS Clinical Reimbursement Director

Penn Wynne, Pennsylvania

Saunders Nursing and Rehabilitation Center

As a pioneer in providing exceptional care and services to older adults, Saunders Nursing and Rehabilitation Center is seeking a highly skilled MDS Clinical Reimbursement Director to join our team. Our dedicated team of healthcare professionals is committed to delivering top-notch care to our residents, and we're looking for a like-minded individual to lead our reimbursement efforts.

MDS Clinical Reimbursement Director Responsibilities

• Develop and implement effective financial strategies to optimize reimbursement and maximize revenue


• Collaborate with the interdisciplinary team to ensure accurate and compliant MDS assessments, care plans, and reimbursement documentation


• Analyze and report on financial performance, identifying areas for improvement and implementing changes to optimize billing and coding processes


• Develop and maintain strong relationships with payors, insurance companies, and government agencies to ensure optimal reimbursement rates and payment terms


• Ensure compliance with all relevant laws, regulations, and industry standards related to reimbursement and billing


• Lead and mentor a team of reimbursement professionals, providing guidance and training to ensure high-quality performance


• Participate in strategic planning and budgeting efforts to drive business growth and profitability

MDS Clinical Reimbursement Director Requirements

• Current RN License in the State of Pennsylvania


• Prior experience in reimbursement, MDS, and Medicare/Medicaid regulations


• PDPM experience required


• Restorative Nursing experience required


• Strong analytical and problem-solving skills, with the ability to interpret complex data and develop effective solutions


• Excellent communication and leadership skills, with the ability to work effectively with multiple stakeholders


• Ability to work in a fast-paced environment, with a focus on high-quality patient care and exceptional customer service

Why join our team?

• Opportunity to work with a dedicated team of healthcare professionals who share your passion for delivering exceptional care


• Competitive compensation package and benefits


• Collaborative and dynamic work environment, with opportunities for professional growth and development