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Clinical Reimbursement Manager

Bronx, NY

Posted: 02/16/2024 Industry: Healthcare Job Number: 36841 Compensation: 90,000

Job Description

Role Overview:
Our client, a network of senior care affiliates, is seeking a Clinical Reimbursement Manager to join their team in the Bronx, NY. The ideal candidate will leverage clinical data to maximize reimbursements.

Compensation: $95,000.00 - $105,000.00
Location: Bronx, New York
Schedule: Monday - Friday, 9 am – 5 pm

•    Conducting resident assessments using minimum data sets (MDS)
•    Utilizing clinical documentation to inform reimbursement strategies
•    Performing utilization reviews for insurance payers
•    Preparing facilities for audits and surveys
•    Collaborating cross-functionally to drive care quality

•    Licensed Registered Nurse in NYS
•    Bachelor's in Nursing; Master's preferred
•    3+ years in care facility reimbursement
•    Completion of NYS PRI assessor program
•    Expertise in Medicare guidelines and MDS

Some of the common benefits offered by the health institutes we represent include:
•    Healthcare Benefits
•    Retirement Plans
•    Paid Time Off (PTO)
•    Professional Development
•    Bonuses and Incentives

Application Notice: Qualified candidates will be contacted within two business days of application. If an applicant does not meet the above criteria, TAG MedStaffing will keep your resume on file for future opportunities and may contact you for further discussion.
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