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Clinical Reimbursement Specialist CRS

Laurel Health Care Company

Richmond, VA
3 days ago

Job Description

Join Laurel Health Care Company as a Clinical Reimbursement Specialist, where you will leverage your RN expertise to guide MDS nurses in multiple facilities. This role involves auditing Medicare compliance and enhancing the RAI process, making a significant impact on resident care.

Key Responsibilities

  • Ensure completion of the RAI process and assessments
  • Audit MDS, CAA’s, and care plans within regulated time frames
  • Provide teaching for MDS nurses on resident assessments
  • Assist MDS nurses with resident care needs coordination
  • Review MDS nurse completion of information from various sources

Required Qualifications

  • Registered Nurse (RN) license in the state
  • Knowledge of the Resident Assessment Instrument (RAI) process
  • Understanding of Medicare compliance and regulatory standards

Preferred Qualifications

  • Experience with Patient Driven Payment Model (PDPM)
  • Teaching and communication skills

Benefits & Perks

Competitive payMedical, dental, and vision insurance401K with matching fundsLife InsuranceEmployee discountsTuition ReimbursementStudent Loan Reimbursement