Vice President – Clinical Reimbursement

Job not on LinkedIn

🕒 October 22

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🔴 Lead

👔 Vice President

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MEADOW VIEW NURSING CENTER

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🏨 Hospitality

Healthcare • Hospitality

MEADOW VIEW NURSING CENTER is likely a skilled nursing/long-term care facility providing residential and medical care services to elderly or medically dependent patients. The only available public text references a GoDaddy domain-sale page for MeadowView. net, so no operational details (services, size, ownership, or location) were found in the provided information. Based on the company name and standard usage, it appears to be a healthcare provider focused on nursing care and assisted living-style services for individuals requiring ongoing medical or personal support.

📋 Description

• Oversee Clinical Reimbursement Specialists to ensure RAI guidelines are followed throughout the Eastern division • Provide guidance and oversight to Clinical Reimbursement Specialists and assessment coordinators regarding MDS and reimbursement processes • Review MDS assessments quarterly, including quarterlies, annuals, significant changes, and admissions • Review admissions and discharges for appropriate discharge and re-entry assessments • Review Medicare PPS assessments and coding accuracy to maximize reimbursement • Monitor Medicare assessment scheduling and use of grace days monthly • Review Medicare certifications for required documentation and signatures • Review facility RUG reports and monitor trends • Participate in facility pre-survey processes focused on MDS and reimbursement • Review Case Mix Reports quarterly • Schedule monthly MDS Coordinator conference calls to review Case Mix projections • Assist with MDS Coordinator orientation • Provide mentoring and guidance during on-site visits, by email, and by telephone • Plan and implement MDS Coordinator conferences • Develop and revise MDS-related policies and procedures • Monitor Clinical Reimbursement Specialist activities through periodic facility visits • Participate in corporate committees as assigned • Develop a quarterly clinical reimbursement newsletter • Develop templates for facility audits and educational sessions • Perform other duties as assigned

🎯 Requirements

• Minimum of 7 years as an active Registered Nurse in the Commonwealth of Pennsylvania • A minimum of 5 years in long term care with MDS experience required • Extensive knowledge of the RAI process and reimbursement requirements for both PPS and case mix • BSN required • RAC-CT certification • High school diploma or GED is required • Current RN license is required and must be in good standing with the Commonwealth of Pennsylvania • Current Basic Life Support for Health Care Providers CPR certificate • Previous experience in completion of Resident Minimum Data Sets and Care planning preferred • Basic computer knowledge is essential • Ability to read, write, and follow oral and written directions • Ability to perform basic mathematics • Knowledge of customer and personal service principles and processes • Knowledge of psychology related to resident and family concerns • Knowledge of safety and security policies, procedures, and strategies

🏖️ Benefits

• Remote work in Pennsylvania

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