Job Information
Masonicare RN Manager Clinical Reimbursement in Wallingford, Connecticut
RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut
RN Manager Clinical Reimbursement
Masonicare Health Center - Wallingford, CT
Day Shift / 40hrs/wk
The Manager Clinical Reimbursement is responsible for coordinating, managing and ensuring the accuracy/capitalization of the facility’s reimbursement from its payor sources. Responsible for the coordination of the Resident Assessment Instrument (RAI) process.
Essential Duties and Responsibilities:
Manages the facility’s RAI processes to capture accurate resident related data as well as work with all resident service department s involved in the RAI process to maximize resident’s full reimbursement potential.
Provides/ensures accurate documentation of all services in order to maximize accurate reimbursement from all payor sources.
Completes all performance reviews with staff along with hiring of new staff.
Selects, trains/orients and assigned department staff. Develops standards of performance, evaluates performance, and initiates or makes staff recommendations.
Reviews facility quality indicators, assisting as needed with identifying strengths and weaknesses of data and how it relates to facility care practices
Manages the patient’s Medicare benefit by communication of skilled needs to the patient, family and interdisciplinary care team.
Organize and participate in the daily Medicare meeting, utilization review and monthly end of close meetings.
Assists with Medicare denial claims/reviews when need is identified by billing office.
Keeps abreast of changes in the Medicare, Medicaid and managed care areans and MDS/RAI processes through journal reading, outside in-services an other sources.
Continually upgrades and makes changes in job area to assure that departments meet the needs to the changing market, federal and/or state mandates.
Participates in and attends all mandatory Masonicare in services and departmental staff and inservice meetings.
Education: Requires a Registered Nurse with a current Connecticut State license and a BSN or MSN graduate degree from an accredited school of nursing.
Experience: Requires at least 3-5 years experience in geriatric nursing;
Requires at least two (2) years experience with federal Medicare/Medicaid and Managed Care reimbursement systems with a thorough working knowledge of the MDS and RAI process; Requires a working knowledge of OBRA regulations as they relate to Skilled Nursing facilities; Requires strong working knowledge of statistics, data collection, analysis and presentation.
Certificates, Licenses, Registrations: Current Connecticut State RN licensure required.
#joinourteam
Job ID: 11065
Share this Job
Share this job with your friends and connections.
Facebook
X
LinkedIn
Email
Job Alerts
Email Address
Areas of Interest Search for a category, location, or category/location pair, select a term from the suggestions, and click "Add".
Category
Location
Add
Professionals, Wallingford Center, Connecticut, United States Remove
Remove
Confirm Email
Submit
Submit Resume and Cover Letter
Useful Links
Masonicare Website (http://www.masonicare.org/)
Why Masonicare
Mystic Community
Job Fairs
Hospice
Behavioral Health
Similar Jobs
RN Behavioral Health Nurse Wallingford Center, Connecticut
RN Behavioral Health Nurse Wallingford Center, Connecticut
RN Nursing Supervisor Wallingford Center, Connecticut
Job Matching
With just one click and a connection to LinkedIn we can find jobs for you that best match you work experience.
Start Matching
Search By Category
Administrative Support Workers Jobs1
Executive/Senior Level Officials and Managers Jobs2
First/Mid-Level Officials and Managers Jobs3
Hospice Jobs9
Not reported Jobs1
Operatives Jobs2
Professionals Jobs22
Service Workers Jobs114
Technicians Jobs14
Search Jobs by Location
Branford Jobs1
Bridgeport Jobs1
Chester Center Jobs7
Colchester Jobs1
Connecticut Jobs159
East Hartford Jobs1
Farmington Jobs3
Glastonbury Jobs1
Groton Jobs1
Hamden Jobs1
Madison Jobs1
Middletown Jobs1
Mystic Jobs25
North Bloomfield Jobs2
Norwich Jobs1
Shelton Jobs3
Simsbury Center Jobs1
Suffield Depot Jobs1
Trumbull Jobs1
United States Jobs159
Vernon Jobs1
Wallingford Center Jobs104
Search by Job Groups
East Hartford Service Workers Jobs1
Glastonbury Service Workers Jobs1
Madison Service Workers Jobs1
Vernon Service Workers Jobs1
Bridgeport Service Workers Jobs1
Simsbury Center Service Workers Jobs1
Farmington Professionals Jobs1
Groton Professionals Jobs1
Hamden Professionals Jobs1
Middletown Professionals Jobs1
North Bloomfield Professionals Jobs1
Branford Professionals Jobs1
Colchester Professionals Jobs1
Connecticut Technicians Jobs1
North Bloomfield Technicians Jobs1
Norwich Technicians Jobs1
Suffield Depot Technicians Jobs1
Trumbull Technicians Jobs1
Connecticut Hospice Jobs1
Farmington Hospice Jobs1
Groton Hospice Jobs1
North Bloomfield Hospice Jobs1
Colchester Hospice Jobs1
Mystic Not reported Jobs1
Wallingford Center Administrative Support Workers Jobs1
Farmington Service Workers Jobs2
Mystic Professionals Jobs2
Mystic Technicians Jobs2
Wallingford Center Operatives Jobs2
Wallingford Center Executive/Senior Level Officials and Managers Jobs2
Shelton Service Workers Jobs3
Wallingford Center First/Mid-Level Officials and Managers Jobs3
Wallingford Center Hospice Jobs4
Chester Center Service Workers Jobs7
Wallingford Center Technicians Jobs7
Wallingford Center Professionals Jobs13
Mystic Service Workers Jobs20
Wallingford Center Service Workers Jobs76
Masonicare Main Campus
22 Masonic Avenue | Wallingford, CT 06492
Masonicare HelpLine:888-332-0033 (tel:8883320033)
Follow Masonicare:
Copyright 2024 - All Rights Reserved -Masonicare.org
Quick Links
Donate Now (https://masonicare.theworxgroup.com/support-masonicare/donate-today)
Patient Portal
Masonicare HelpLine
MasonicareCONNECT
News & Media (https://masonicare.theworxgroup.com/helpful-answers/news-media)
Employee Portal
Board Member Portal (https://homeconnect.masonicare.org/vpn/index.html)
Privacy Policy
Terms of Use (https://masonicare.theworxgroup.com/contact-masonicare/terms-use)
Statement of Non-discrimination
Emergency Preparedness Guide (https://portal.ct.gov/DPH/Communications/Emergency-Preparedness--Response/Publications)
I am a Mason
An Ageless Commitment to Caring