Regional Clinical Reimbursement Specialist, RN

Job Description

Job Description

Regional Clinical Reimbursement Specialist, RN

Welcome to Journey, where the community is at the heart of everything we do. We believe that true success starts with strong local leadership, supported by a dedicated home office team. Our journey began with a vision to create opportunities that empower individuals to make a positive impact right in their own backyard.

Our Vision

Change the world, one heart at a time.

Our Mission

Our Mission is to consistently achieve exceptional quality outcomes by leading a world-class Care Team.  Our empowered and dedicated Care Team strives to exceed the expectations of our residents in every interaction.  Being a part of your journey is our privilege.

The Heartbeat of Journey

Our local leaders are the driving force behind our success. They’re not just managers; they’re passionate advocates for their communities. They understand the needs and goals of the residents and families they serve. They’re your neighbors, your friends, and your partners in progress. Together, we work tirelessly to create meaningful change and lasting legacies.

As a Regional Clinical Reimbursement Specialist, you will be responsible for coordinating and overseeing the MDS process for multiple facilities within the region. You will work closely with nursing staff, interdisciplinary teams, and management to ensure compliance with regulations and standards. This role requires excellent communication skills, strong clinical knowledge, and the ability to analyze data to improve resident care.

Key Responsibilities:

- Conduct MDS assessments and ensure accurate and timely completion.

- Collaborate with interdisciplinary teams to develop care plans based on MDS results.

- Train and support facility staff on MDS processes and documentation.

- Monitor compliance with federal and state regulations related to MDS.

- Analyze MDS data to identify trends and areas for improvement in resident care.

- Participate in quality assurance and performance improvement initiatives.

- Serve as a resource for nursing staff regarding MDS-related inquiries.

Qualifications:

- Valid Registered Nurse (RN) license in [Insert State].

- Minimum of [X] years of nursing experience, with at least [X] years in long-term care or skilled nursing.

- Experience with MDS assessments and the RAI process.

- Strong organizational and time management skills.

- Excellent communication and interpersonal abilities.

- Proficient in using electronic health records (EHR) and MDS software.

J ourney offers all care team members the Journey AdvantEdge which includes :

• Medical, Dental, and Vision Insurance
• Quarterly Raises
• PTO
• And so much more….

If you are ready to embark on a rewarding career that truly makes a difference, we invite you to apply for the Activities Director position at Journey Healthcare. Together, let’s change lives one heart at a time. 

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