Responsibilities
This position supports our centers in NM and WA. Experience with both NM and WA regulations is prefered.
Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards providing direct guidance to MDS Coordinators and nursing center teams to position the Market for Clinical Reimbursement performance achievement.
*Leverage knowledge and experience to enhance and improve center-level Quality Measure results to position the Market for Quality Measure success and improved Star Ratings
*Identify MDS opportunities and partners with Nursing Home Administrators to create specific MDS training goals and provides on-going support for the MDS Coordinators to meet those goals.
*Provide guidance, oversight, and direction for compliance of auditing activities and investigations related to MDS and reimbursement.
Qualifications
*Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (i.e. Physical Therapist)
*Must have Medicare and State-specific Medicaid experience (as applicable).
*Must be willing to travel as this position requires an onsite presence the majority of the time.
Benefits
*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, 401K, 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've already earned
We also offer several voluntary insurances such as:
*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.
Posted Salary Range
USD $120,000.00 - USD $125,000.00 /Yr.
