Job Description

Job Description

Job Description

Description:

We are seeking a registered nurse (RN) who has experience working in a skilled nursing facility to join our team. The Clinical Reimbursement specialist will oversee the nursing home assessment and submission of Minimum Data Set (MDS).

If you are a highly motivated individual with a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities.

We would love to meet you!

Summary

• Maintains and actively promotes effective communication with all individuals.
• Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
• Will ensure center adheres to Medicare coverage requirements; such as certification, assessment, and advance beneficiary notice.
• Will oversee the Medicare meeting and provide direction to support process improvement.
• Will oversee and assure accuracy/quality of the MDS/RAI process, including scheduling, completion and content.
• Will be responsible to review 24 hr. report, physician orders, stand up meeting minutes daily, and monitor for any resident MDS/insurance coverage issues.
• Will manage all requirements to authorize coverage & continued stay from HMO, Insurance, and LTC Policies.
• Will maintain a strong working relationship therapy to determine assessment reference dates, insurance coverage criteria, and patient rehabilitative plan of care.
• Performs other duties, as assigned.

• Nursing Home Experience
• Current license in good standing to practice in Wisconsin as a Registered Nurse.
• AANAC Resident Assessment Coordinator Certification Preferred.
• 4-5 years of experience in Minimum Data Set preferred.
• Ability to navigate and effectively utilize an Electronic Medical Record program
• Current CPR certification
• Commitment to quality outcomes and services for all individuals.
• Ability to relate well to all individuals.
• Ability to maintain and protect the confidentiality of information.
• Ability to exercise independent judgment and make sound decisions.
• Ability to adapt to change.

Benefits

• Health, Dental, & Vision Insurance
• Health Saving Account with Potential Company Contributions
• 401(k) with Company Match
• Financial and Retirement Planning at No Charge
• Paid Time Off and Holidays
• Basic Life Insurance & AD&D - Company Paid
• Short and Long Term Disability - Company Paid
• Voluntary Ancillary Coverage
• Referral Bonuses
• Employee Assistance Program

Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart, management support and consulting.

The people of Illuminus are not just our colleagues, our employees, our residents—they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.

#IlluminusHQ

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