Three or more years of leadership experience in senior care reimbursement
Registered Nurse License required
BLS Certification required
Responsibilities
Develop and evaluate organization-wide policies for compliance with reimbursement regulations
Assist in creating systems to improve clinical documentation accuracy across care settings
Ensure implementation of policies related to governmental payment systems like VBP and QRP
Provide clinical information and training to support reimbursement in SNF locations
Promote consistent use of clinical information systems for regulatory compliance
Guide the development of reimbursement documentation for MDS completion
Integrate Benedictine's Mission and Core Values into daily activities
Benefits
Paid time off (PTO)
Retirement plan
Medical, dental, and vision insurance
Education assistance
Variety of additional voluntary benefits
Full Job Description
Overview
Ensure Benedictine communities have clinical reimbursement processes and applications available to ensure accurate reimbursement based on CMS, state-specific private insurer processes, and for retrospective clinical reimbursement audits; proactively develop, educate, and implement community level and system-wide changes needed to meet new requirements as regulations and requirements change.
Responsibilities
Develop and evaluate organization-wide policies, resources, and practices to ensure compliance with regulations for resident assessment instruments and reimbursement systems.
Assist in development of systems to assess and improve the accuracy of clinical documentation in all care settings for subsequent payment, for implementation at the communities, and for utilizing an interdisciplinary approach. These systems may be federal (Medicare), individual state level (Medicaid), local, private and/or state insurance/managed plans, and new reimbursement requirements as developed by payer sources.
Ensure implementation of policies and practices related to governmental payments systems such as Value Based Purchasing (VBP) and, Quality Reporting program (QRP).
Provide clinical information, direction, consultation, and education/training to support clinical reimbursement in Benedictine SNF locations.
Promote the achievement of Benedictine strategies by ensuring consistent utilization of clinical information systems and skills that integrate with regulatory compliance and clinical reimbursement.
Guides the development and management of reimbursement related documentation to assist in completing MDS documentation to assure appropriate levels of clinical reimbursement.
Promotes the Benedictine Mission and Core Values of Hospitality, Stewardship, Respect and Justice by bringing the Mission and Core Values into the day-to-day activities of the company.
Qualifications
QUALIFICATIONS REQUIRED
Three (3) or more years of leadership experience in senior care reimbursement
Registered Nurse License
BLS Certification
Salary Range$120,000-$130,000
Benefits Statement
A robustbenefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntarybenefits. For more information visit our website atwww.benedictineliving.org.
About Benedictine College
Benedictine College is a private Catholic liberal arts college located in Atchison, Kansas. The college was founded in 1858 by Benedictine monks and is affiliated with the Roman Catholic Church. Benedictine College offers undergraduate degrees in over 50 majors and minors, as well as graduate degrees in education and theology. The college has a student population of around 2,000 and a student-to-faculty ratio of 13:1. The college's mission is to educate students within a community of faith and scholarship.
