Clinical Reimbursement Specialist RN Skilled Nursing

Clinical Reimbursement Specialist (CRS) - RN

Full Time

Skilled Nursing

On Site Monday thru Friday

Collaborates with the DON, CRM (where applicable) and various disciplines to assist in the completion of the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON or CRM (where applicable), the CRS ensures completion of the assessment within the timeframe as mandated by federal regulations and company policies. The CRS manages the overall resident assessment process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center. Responsibilities also include assisting with the coordination of resident care planning processes under the direction of the DON or CRM (where applicable). Performs other duties as assigned.

• Education: Graduation from a School for Registered Nursing is required.
• Work Experience: Minimum 1 year of previous experience in an MDS/Clinical Reimbursement Nurse role is preferred.
• Licensure / Certification, where required:
  • Current State Licensure as a Registered Nurse in the state where practicing is required. Current CPR and Automated External Defibrillator (AED) certifications are required.
  • Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification, where required.

The application window is anticipated to close within 30 days of the date of the posting.

This position requires compliance with Florida's Care Provider Background Screening process. Please see the Clearinghouse screening information here: https://info.flclearinghouse.com.