Clinical Reimbursement Coordinator, RN

Overview

Orono seeks full time, MDS/ clinical reimbursement coordinator. Monday through Friday, on-call requirements, 8 hour shifts. Experience in long term care preferred.

• Timely and accurate completion of the MDS treatment assessment tool and reviewing care plans and delivery for factors specific to patients/residents such as physical, cognitive, and socialization factors to ensure compliance with high standards of care.
• Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
• Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
• Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.

• Graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.
• At least one year of long-term care nursing experience is required.

• Variable compensation plans
• Tuition, travel, and wireless service discounts
• Employee assistance program to support mental health
• Employee foundation to financially assist through unforeseen hardships
• Health, dental, vision, company-paid life insurance, 401(k), paid time off
• Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
• On-demand pay program that allows for instant access to a portion of the money you have already earned
• Pet insurance
• Term and whole life insurance
• Short-term disability
• Hospital indemnity
• Personal accident
• Critical illness
• Cancer coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

USD $83,200.00 - USD $98,800.00 /Yr.