What are the responsibilities and job description for the Regional Director of Clinical Operations position at Regency Pacific Management, LLC?
Registered Nurse License Required!Must have a Minimum of 5 years of MDS experience.Multfacility Oversight - 75% Travel
Reimbursement Specialist - Skilled Nursing
Extensive Overnight Travel Throughout Oregon and Washington
The Reimbursement Specialist is responsible for multi-facility oversight of the RAI process, ensuring accuracy of coding MDS assessments and capturing aspects of care delivery to the residents.
As a Reimbursement Specialist, you will:
- Training and Mentoring new MDS nurses.
- Monitor PCC portals to ensure MDSs are opened appropriately.
- Monitoring and assessing MDS submissions monthly for each SNF facility to ensure correct MDSs are scheduled. The frequency of monitoring can be adjusted depending on findings.
- Auditing MDS/PDPM assessments monthly for each SNF facility to review for accuracy in coding.
- Monitor Quality Measure for each facility monthly with follow-up to the facility of any areas that can be improved, and assist with training and action plans.
- Monitor QRP/VBP as information becomes available to determine education and process improvement opportunities.
- Assist in arranging for MDS completions when a facility requires assistance, to include assigning other MDS coordinator to assist.
You Currently:
- Must possess a current RN license. License must be in good standing. To be licensed in Oregon and Washington and any other state as VP of Operations requests.
- Must be MDS certified through AAPACN with at least 5 years of experience with the RAI process.
- Must have knowledge of Medicare/Insurance requirements related to skilled nursing care.
- Strong knowledge of healthcare delivery systems and utilization management practices.
- Proficient computer skills and experience with electronic medical records.
Our Benefits
- Medical/Dental/Vision
- Generous PTO Accrual
- Prescription Drug Coverage
- Employee Assistance Program (EAP)
- Employee Discount Program
- Retirement Plan available.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal-opportunity workplace.
Reimbursement Specialist - Skilled Nursing
Extensive Overnight Travel Throughout Oregon and Washington
The Reimbursement Specialist is responsible for multi-facility oversight of the RAI process, ensuring accuracy of coding MDS assessments and capturing aspects of care delivery to the residents.
As a Reimbursement Specialist, you will:
- Training and Mentoring new MDS nurses.
- Monitor PCC portals to ensure MDSs are opened appropriately.
- Monitoring and assessing MDS submissions monthly for each SNF facility to ensure correct MDSs are scheduled. The frequency of monitoring can be adjusted depending on findings.
- Auditing MDS/PDPM assessments monthly for each SNF facility to review for accuracy in coding.
- Monitor Quality Measure for each facility monthly with follow-up to the facility of any areas that can be improved, and assist with training and action plans.
- Monitor QRP/VBP as information becomes available to determine education and process improvement opportunities.
- Assist in arranging for MDS completions when a facility requires assistance, to include assigning other MDS coordinator to assist.
You Currently:
- Must possess a current RN license. License must be in good standing. To be licensed in Oregon and Washington and any other state as VP of Operations requests.
- Must be MDS certified through AAPACN with at least 5 years of experience with the RAI process.
- Must have knowledge of Medicare/Insurance requirements related to skilled nursing care.
- Strong knowledge of healthcare delivery systems and utilization management practices.
- Proficient computer skills and experience with electronic medical records.
Our Benefits
- Medical/Dental/Vision
- Generous PTO Accrual
- Prescription Drug Coverage
- Employee Assistance Program (EAP)
- Employee Discount Program
- Retirement Plan available.
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal-opportunity workplace.
At Regency Pacific Management, our philosophy is centered on, “Bringing Independence to Living and Quality to Life”, for the many residents we serve. We specialize in Retirement/Independent Living, Assisted Living, Memory Care, Rehabilitation Therapy, Respite Care, Skilled Nursing and Long Term Care , services. We are looking for like-minded individuals to join our team.
