Regional Clinical Reimbursement Manager, RN

Overview : At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities : The Clinical Reimbursement Manager POD Leader is responsible for overseeing clinical reimbursement for nursing centers in an assigned geography and serves as the Clinical Reimbursement Manager in an assigned nursing center. This individual manages the Medicare / Medicaid reimbursement process through evaluating, enhancing, and training nursing center staff to increase their knowledge and skills required to optimize revenue under each program. Participates in the development, implementation, and ongoing evaluation of reimbursement priorities in the nursing center and reviews outcomes. Evaluates the Medicare and Medicaid processes monthly to assure proper utilization of services to maximize reimbursement. Monitors the nursing center by conducting periodic audits and takes appropriate action to assure compliance with established standards. Advises and assists the Clinical Reimbursement Coordinators to assure compliance to HCFA and State reimbursement regulations and nursing center policies and procedures. Attends each nursing centers' Medicare meetings to review coverage and documentation issues and requirements at each center. Reports any issues to the Administrator, Director of Nursing and Clinical Reimbursement Coordinator, as well as appropriate regional staff. Qualifications : Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (Physical Therapist, Occupational Therapist, Speech Therapist, Licensed Social Worker, or Master of Social Work). BS or a BA degree is required.

Must have at least two years' experience in long-term care preferably in a reimbursement related position. Medicare and Medicaid experience and proficiency in Medicare and Medicaid regulations including case mix reimbursement and RUG III knowledge is required. Must be able to travel, exercise a flexible schedule and work independently. Benefits : Variable compensation plans

Tuition, Travel, and Wireless Service Discounts

Employee Assistance Program to support mental health

Employee Foundation to financially assist through unforeseen hardships

Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off We also offer several voluntary insurances such as :

Pet Insurance

Term and Whole Life Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range : USD $100,000.00 - USD $112,000.00 / Yr.