Clinical Reimbursement Specialist

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. POSITION OVERVIEW Job Summary The CS-Resident Assessment provides expert guidance to campus leadership teams on clinical assessment practices, focusing on MDS accuracy, regulatory compliance, and reimbursement optimization. This role partners with MDS Coordinators and facility staff to evaluate processes, conduct audits, and recommend improvements. By supporting adherence to professional standards and fostering collaboration, the specialist helps drive quality outcomes across assigned campuses. License/Experience Registered Nurse (RN) license REQUIRED 1-3 years of MDS experience REQUIRED Roles and Responsibilities Supports assessment function(s) to augment the management in each facility through the imparting of knowledge, advice or counsel to Executive Directors, Directors of Health Services, MDS Coordinators, Social Services, and other facility staff members. Focus of Assessment Support role is to assist the MDS Coordinator and campus staff in adherence to professional, corporate, and regulatory standards. Works in cooperation with the VP of Clinical Assessment and Director of Assessment Support, VP and AVP of Clinical Operations, Chief Nursing Officer, Division Vice President, Operations Support, and Chief Operating Officer. Assists campus management teams to understand the MDS and clinical reimbursement processes. Emphasizes the importance of good rapport among the department managers in a positive, solution-oriented approach that leads to better service. Works in partnership with the Divisional Vice President of Operations and Campus Support - Clinical staff to assist in providing recommendations that relate to the MDS and nursing department in campuses assigned. Evaluates the delivery of MDS and related services and confers with the management staff in determining goals and objectives for solutions to problem areas resulting in immediate and satisfactory response to concerns. Audits the MDS assessment to ensure accuracy of item coding for regulatory and reimbursement purposes. Oversees transmission process to confirm accuracy and timeliness of all assessments prior to submission. Establishes rapport with regulatory agencies, professional organizations, teaching institutions, and community leaders. Provides visit observation reports and audits for distribution after each on-site facility visit and/or significant communication on matters of importance which detail observations, recommendations for improvement, issues and problems discussed, directions given, and updates or follow-up from previous communication. Maintains ongoing knowledge of the operational details of the MDS Coordinator position and its relationship to Health Campuses. Serves as a consultant and facilitator to the campus MDS Coordinator, Director of Health Services, and Executive Director by planning, developing, organizing, implementing, evaluating, and supporting the direction of MDS Coordinators. Other duties as assigned. Qualifications Education: Associate Degree in Nursing Experience: 3-5 years Licenses and Certifications Current unencumbered registered nursing license in the state of practice. Certification as a Nurse Assessment Coordinator preferred. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 20lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. LOCATION US-IN-New Albany Trilogy Health Services - Travel New Albany IN BENEFITS Competitive salaries and weekly pay 401(k) Company Match Mental Health Support Program Student Loan Repayment and Tuition Reimbursement Health, vision, dental & life insurance kick in on the first of the month after your start date First time homebuyers' program HSA/FSA And so much more! LIFE AT TRILOGY Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged. Six months of training, orientation and fun! We believe in setting our employees up for success. that's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. #J-18808-Ljbffr