Join the RegalCare of Holyoke Team!
At RegalCare of Holyoke, we are dedicated to providing exceptional care to our residents while supporting our staff with a positive, team-focused work environment. We are currently seeking a
Clinical Reimbursement Nurse professional to join our team.
Responsibilities:
- Oversee and facilitate the completion of resident assessments in accordance with Federal and State regulations
- Establish assessment schedules and ensure that assessments are done in an accurate and timely manner
- Transmitting assessments to the State of Connecticut, Department of Health
- Coordinate resident care plans in accordance to regulatory requirements, ensuring that resident care is delivered effectively
- Initiate Medicare coverage for newly qualified residents and sending denial letters when necessary
- Remain updated on changes in Medicare coverage and help determine documents necessary for reimbursement.
- Coordinates the assessment, planning, implementation and evaluation of resident care by following the MDS process.
- Coordinates and facilitates care conferences with the interdisciplinary team.
- Coordinates, completes and reviews Minimum Data Sets (MDS)
- Educates, trains and assists nursing staff and other departments regarding the roles of assessments, planning, implementation and MDS process; and completion of applicable sections of MDS.
- Responsible for ensuring all current MDS/PPS updates are implemented and staff is in-serviced.
- Will cross train between PPS and OBRA.
- Conducts regular resident interviews as required by the MDS
Requirements:
Must be a licensed
Massachusetts RN or LPN
Minimum
1 year of experience as a Clinical Reimbursement Coordinator (MDS experience required)
Strong communication, organizational, and assessment skills
Why RegalCare of Holyoke?
Supportive, collaborative team environment
Opportunities for professional growth
Comprehensive benefits package
