Clinical Reimbursement Specialist

Majestic Care is looking for a Regional RAI Specialist in West Virginia to join our teams' mission and believe in our core values! Our mission: Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve. Our Core Values... L - Listening E - Empathy A - Accountability D - Decisiveness This is how we create a culture to LEAD with Love. Position Overview: Provides education and training to communities on the resident assessment instrument (RAI) process in accordance with all laws, regulations, and standards. Reviews and coordinates PPS and case mix data for the entire company to ensure appropriate utilization of available resources. Key Responsibilities: Review and coordinate PPS and case mix data for entire company to ensure appropriate utilization of available resources. Review MDS Detail and RUGS monthly or more frequently as needed for each community. Be involved in recruitment, selection, and training of MDS team members. Establish and evaluate MDS system for accuracy and timeliness. Prepare clinical team on MDS process. Prepare community for MDS issues and concerns during survey process. Performs other tasks as assigned and within scope of practice. Qualifications: Excellent verbal and written communication skills. Proficient in Word, Excel, email. Must be willing to travel as needed. Ability to provide training to professional and entry level team members. Knowledge of nursing practices and procedures as well as laws, regulations, and guidelines governing nursing functions in long-term care. Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures of clinical services. Ability to maintain confidentiality of sensitive information. Must have nursing degree from an accredited college - RN necessary. Must have 1 year of working with RAI process and PPS. Other Special Requirements: Manual dexterity required to operate modern office equipment. Valid driver's license for travel as needed. #HiMed #J-18808-Ljbffr