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Posted 09/18/2017
Job # 59405
Title: Regional Clinical Reimbursement Manager
Facility: Corporate position
Company: Mission Health Communities
Location: Kansas City, KS
Salary: competitive

Mission Health is seeking a Registered Nurse with a current nursing license, and extensive MDS, PPS, and Kansas Case Mix experience to join our regional team. The Regional Clinical Reimbursement Manager assures the management of the Medicare, Managed Care and Medicaid reimbursement system for a regional specific number of Skilled Nursing Facilities. In this role you will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicare/Medicaid reimbursement for assigned facilities.

The ideal candidate will have excellent interpersonal and communications skills, have a solid work ethic, be a resource for the assigned facilities, and be able to travel extensively. This position reports to the VP of Clinical Reimbursement.

Essential Functions:
•Implement and direct Medicare and Medicaid auditing and system review during facility visits
•Timely completion of facility visit reports
•Provide interdisciplinary Team Training
•Provide ongoing education to the facility Clinical Reimbursement Coordinators
•Assist in hiring and training new CRC
•Participate in regional team audits
•Understand and assist facilities with financial and clinical analysis related to the RAI process
•Oversee the clinical component of PPS, and RUG utilization
•Assist the facility CRC as needed

If you are an RN, have experience with the essential functions above and can travel throughout the state of Kansas, I welcome you to apply.

Contact: Human Resources
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