Clinical Reimbursement Manager/MDS Manager
Genesis HealthCare - Philadelphia, PA - Philadelphia, PA
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Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference.Before applying for this role, please read the following information about this opportunity found below.Join the Genesis team as a Clinical Reimbursement Manager where you will maximize revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.Position Highlights*Participate in the development, implementation, evaluation and outcomes management of reimbursement priorities in nursing centers to assure proper utilization of services to maximize revenues.*Advise and assist the Clinical Reimbursement/MDS Coordinators to assure compliance to HCFA and State reimbursement regulations and Genesis Policies and Procedures.*Present changes in reimbursement regulations imposed on nursing center operations through training classes.*Participate in nursing centers' Medicare meetings to review coverage and documentation issues and requirements. Report any issues to the Nursing Home Administrator, Director of Nursing and Clinical Reimbursement/MDS Coordinator.*Assist in the selection and orientation of new nursing center Clinical Reimbursement Coordinators.Why Genesis?We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion!*We Care Deeply about YOU! Guided by our Core Values, Code of Conduct and Ethics program, we foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty and integrity in all we do.*We Develop YOU! We provide career ladders, education and training opportunities so you can build a long and successful career with Genesis.*We Appreciate YOU! We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes.*We are Committed to YOU! We know you are the vital link between Genesis, our patients and residents! We inspire you to be your best self.*We Protect YOU! We take great pride in meeting or exceeding CDC and CMS standards.MCR2Qualifications:SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: *Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (i.e. Physical Therapist) *BS or a BA degree is required *Must have Medicare and Medicaid experience. Other Info Position Type: Full TimePay Target: $95,000 - $105,000 / yearJob City: PhiladelphiaRequisition Number: 503961
Created: 2024-09-20