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The Highlands at Brighton: Clinical Reimbursement Manager

Company: The Highlands at Brighton
Location: Hilton
Posted on: November 22, 2021

Job Description:

The Highlands at Brighton, an affiliate of UR Medicine, provides more specialty care services than any other transitional or long term care facility in our region.We have an exciting opportunity available for a full time Clinical Reimbursement Manager who will oversee the reimbursement process for The Highlands at Brighton and The Highlands Living Center.Responsibilities:MDS scheduling for all OBRA and PPS assessments.Signs off on MDS assessments once they are completed by the team.Advises the therapy department for optimal reimbursement and compliance with Medicare A and Medicaid.Monitors MDS Coordinator, Insurance Specialists, MDS Assistants, Nurse Managers, Social Workers, Dieticians, and Recreation staff for MDS accuracy and compliance.Case Mix chart reviews.Distributes ADL reports to nurse managers.Maintains CMI spreadsheet and facilitates the CMI meetings.Maintains CHR spreadsheet and facilitates CHR meetings.Provides guidance and education to Nurse Managers, Social Workers, Recreational Therapists, Dieticians, and other MDS staff for accurate coding of the MDS as well as financial impacts of the MDS.Job RequirementsLicensed as a Registered Nurse in NYSMinimum of three (3) years of therapy experienceMinimum of two (2) years of management experienceWorking knowledge and/or demonstrated ability of Case Mix IndexThe Highlands at Brighton offers competitive wages and excellent benefits including:Tuition Reimbursement403(b) with MatchMedical/Dental/Vision InsuranceFree, On-Site ParkingThe Highlands at Brighton is an Equal Opportunity Employer M/F/Disability/Protected VetAuto req ID66BRArea of InterestClinical Non-NursingEmployment StatusFull-TimeHours/Week40Work ShiftDays

Keywords: The Highlands at Brighton, Rochester , The Highlands at Brighton: Clinical Reimbursement Manager, Healthcare , Hilton, New York

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