Regional Reimbursement Nurse

Creative Solutions In Healthcare, Inc.; Gauteng; On-site; ZAR 30 000 - 60 000; Full time

Job summary

An established industry player is looking for a dedicated Regional Reimbursement Nurse to join their dynamic team. This role focuses on supporting long-term care facilities and ensuring compliance with federal and state regulations. The ideal candidate will possess strong organizational skills and the ability to work independently while managing multiple projects. With a commitment to providing unparalleled corporate support, this opportunity offers a chance to make a significant impact in the healthcare sector. If you are a licensed nurse with a passion for geriatric care, this position is perfect for you!

Benefits

Health / Dental / Vision Insurance

Tuition Reimbursement

Paid Time Off

Immediate (k)

Ancillary policies including AD&D, STD, Cardiac, Cancer, Critical Illness, Hospital Confinement

Whole and Term Life Insurance

Unparalleled Corporate Support

Qualifications

• Licensed Nurse in good standing with a geriatric nursing background.
• Excellent professional skills in assessment and hands-on care.

Responsibilities

• Support facility staff by scheduling residents for assessments.
• Monitor MDS and care plan documentation for compliance.
• Coordinate Medicaid meetings and perform care plan updates.

Skills

Reliability

Trustworthiness

Multi-tasking

Communication Skills

Organizational Skills

Education

Licensed Nurse

Tools

MDS Software

Job description

We're seeking a Regional Reimbursement Nurse to add to our growing team in North East Texas!

This position will cover long-term care facilities in and around the Sulphur Springs, Paris, and Mount Pleasant areas.

Reliability, trustworthiness, and consistency with regard to attendance are extremely important to this job.

The ability to regularly and timely attend work, cooperate, politely work and deal with others, and effectively multi-task in a stressful environment are also essential functions of this job.

Benefits :

• Health / Dental / Vision Insurance
• Ancillary policies including AD&D, STD, Cardiac, Cancer, Critical Illness, Hospital Confinement
• Whole and Term Life Insurance
• Tuition Reimbursement
• Paid Time Off
• Immediate (k)
• Unparalleled Corporate Support

Responsibilities :

1. Support Facility Staff : Schedules residents for appropriate admission, annual, quarterly, Medicare assessment or change-of-condition assessments, overseeing communication to nursing and other departments.
2. Assures compliance with Federal and State regulations regarding completion / coordination of the comprehensive assessment (MDS).
3. Monitors MDS and care plan documentation on all residents, assuring that complete, orderly, chronological, and current documentation is in file.
4. Maintains proficiency in software.
5. Coordinate and attend regular Medicaid meetings to discuss current residents, pending residents, and recipients.
6. Coordinate and attend all ITTM meetings to gather information, communicate changes, and maintain/update clinical records including the Care plan.
7. Performs care plan updates as needed.
8. Provide DON, Administrator, and pertinent staff with the Quality Indicators Report.
9. Perform transmissions of the MDS on a timely basis.
10. Remain current with industry changes through attendance at workshops and conferences.
11. Perform Ancillary management, collection, and reporting to corporate billing personnel.

Requirements :

• Licensed Nurse in good standing.
• Geriatric nursing background.
• Restorative care philosophy, excellent professional skills (assessment and hands-on), and good communication and organization skills.
• Working knowledge of nursing home regulations.
• Ability to work independently and as part of a team.
• Excellent organizational skills to coordinate multiple projects simultaneously.

We are an equal opportunity employer and prohibit discrimination or harassment based on race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by law.