Reimbursement Services Director jobs in Kentucky

Vice President of Clinical Reimbursement

Can You Answer Yes to The Following Questions?

• Do you have 10 years of Corporate and Regional MDS experience with multiple facilities?
• Are you able to support our locations through mentorship and education?
• Is your leadership style to promote employee engagement and retention?
• Are you ready to take the next step in your career and experience a new challenge?

If You Answered Yes, Here’s What We Offer You!

• Affordable Medical, Dental, and Vision Benefits for You & Your Family
• Employee Benefits Concierge – to Guide You in Maximizing Your Benefits
• Tuition Reimbursement
• Student Loan Repayment Program
• Company Paid Life Insurance
• Paid Vacation Days with Rollover Option and Sick Time
• 401k Retirement with Company Match
• Health Savings Account (HSA) and Flexible Spending Account (FSA)
• Mobile Phone Discount Program
• Unlimited Employee Referral Bonuses and more!

Summary:
Provides education, training, and support to corporate, regional, and facility staff on the resident assessment instrument (RAI) process in accordance with all laws, regulations and standards. Reviews and coordinates PPS, Medicare management, managed care, and case mix data for company to ensure appropriate
utilization of available resources. Collaborates with corporate, regional, and facility interdisciplinary teams.

Education:

• Must have nursing degree (or diploma) from accredited college - RN

Experience:

• Must have 10 years working with RAI process and PPS at the regional and above level.
• Multi-facility experience preferred
• Experience in Case Mix preferred

Essential Functions:

• Able to read, write, speak and understand the English language.
• Able to move intermittently throughout the work day.
• Practice regular and predictable attendance.
• Understand and follow company policies.
• Develop systems/processes in collaboration with all impacted departmental teams to ensure corporate, regional, and facility staff can perform efficiently. (i.e., RAI policy/procedures, quality measures, triple check, case mix, SNF QRP, SNF VBP, etc.)
• Provides education, training, and support to corporate, regional and facility staff on, but not limited to, RAI processes, case mix, Medicare/Medicaid/Insurance, quality measures, and triple check.
• Work in collaboration with departmental teams for facility visits/audits.
• Participate in recruitment, selection, and training of regional MDS staff.
• Works as a liaison with vendors (i.e., PCC, Ability, therapy etc.)
• Lead and/or participate in company initiative projects
• Compliance monitoring (i.e., MDS accuracy and timeliness, appropriate utilization of resources, survey readiness, care plans)

Qualifications:
Licenses/Certification:

• RN license
• AANAC Certification

Experience:

• Must have 10 years working with RAI process and PPS at the regional or above level.
• Multi-facility experience preferred
• Experience in Case Mix preferred

Essential Functions:

• Able to read, write, speak and understand the English language.
• Able to move intermittently throughout the work day.
• Practice regular and predictable attendance.
• Understand and follow company policies.
• Develop systems/processes in collaboration with all impacted departmental teams to ensure corporate, regional, and facility staff can perform efficiently. (i.e., RAI policy/procedures, quality measures, triple check, case mix, SNF QRP, SNF VBP, etc.)
• Provides education, training, and support to corporate, regional and facility staff on, but not limited to, RAI processes, case mix, Medicare/Medicaid/Insurance, quality measures, and triple check.
• Work in collaboration with departmental teams for facility visits/audits.
• Participate in recruitment, selection, and training of regional MDS staff.
• Works as a liaison with vendors (i.e., PCC, Ability, therapy etc.)
• Lead and/or participate in company initiative projects
• Compliance monitoring (i.e., MDS accuracy and timeliness, appropriate utilization of resources, survey readiness, care plans)

Knowledge/Skills/Abilities:

• Excellent verbal and written communication skills.
• Proficient in Word, Excel and email.
• Have good computer software skills.
• Must be willing and able to travel extensively.
• Ability to provide education to professional and non-professional staff.
• Knowledgeable of nursing practices and procedures as well as laws, regulations and guidelines governing nursing functions in long-term care.
• Ability to plan, organizes, develop, implement and interpret programs, goals, objectives, policies and procedures of clinical services.
• Ability to maintain confidentiality of all information