CHI Living Communities is a business line of Catholic Health Initiatives (CHI) which joined with Dignity Health to form CommonSpirit Health, a nonprofit national health system committed to advancing the health of all people and dedicated to serving the common good. Offering assisted living, memory care, skilled nursing and rehabilitation with private living spaces in a beautifully-designed, compassionate environment.
The Director of Clinical Reimbursement oversees and audits MDS submissions and reimbursements to ensure accuracy and compliance, identify opportunities for improvement in MDS processes, and track RUG scores to ensure appropriate care is provided to residents. Additional responsibilities include providing assistance and education to campus MDS Coordinators related to the MDS process, MDS software functionality, and best practices; working with the clinical team to ensure compliance with all federal and state guidelines, and monitoring and reporting any process deficiencies as needed.
Education & License:
Registered Nurse current license in at least one of the states in which we operate and ability to become licensed in additional states.
BSN degree preferred
Current RAC-CT certification required
Long term care leadership experience
Must have experience working with state of Ohio Medicaid schedule
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