Top 1 Regional mds Jobs in Newburgh Ny

Corporate Director of Reimbursement
American Medical Associates —Kiryas Joel, NY
- $170,000 - $190,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Data analysis skills
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Corporate Director of Reimbursement

American Medical Associates -
Kiryas Joel, NY

Quick Apply

Job Details

Full-time
$170,000 - $190,000 a year

Qualifications

Skilled nursing facility experience
Long-term care regulations
Medicare
Managed care
RN License
Team leadership
Long-term care facility experience
CMS regulatory compliance
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Centers for Medicare & Medicaid Services (CMS) billing regulations

Full Job Description

Corporate Director of Reimbursement

Corporate Office based out of Monroe, NY

Salary: $180K-$200K range

Overseeing 8 SNF's in the Eastern Massachusetts region

Travel to facilities required about twice a month

Qualifications:

Must have valid Registered Nurse license
Must have multi-facility MDS experience in long term care
Must be proficient in CMI, QM and PDPM
Extensive knowledge of Medicare reimbursement system, compliance and eligibility
Prior Regional MDS experience strongly preferred
MUST be willing to travel
Must have long term care/skilled nursing experience
Must have strong leadership skills
Strong written and verbal communication skills

Responsibilities:

The Corporate Director of Reimbursement provides extensive training, analysis, advice and consultation to the facilities and teams members
Ensures compliance with federal and state regulations, as well as Company policy and procedures regarding state case mix/Medicare and Managed Care payment systems
Monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant state Medicaid/Medicare/Managed Care payment performance
Provides consultation, training and support concerning the Medicare, Managed Care and state case mix payment system
Analyzes systems and processes to determine that federal and state regulations as well as company policies and procedures are followed
Promotes compliance by performing periodic audits of MDS assessments, supporting documentation, and other relevant data
Recognizes, advises and promotes facility best practices and systems for dealing with state case mix/Medicare and Managed Care payment systems
Studies, analyze and reports period over period information and systems in order to identify trends and deviations from results in Medicare, Managed Care and State Case Mix Index and takes appropriate actions
Works in conjunction with teams to resolve issues effecting deviations from expected results
Recommends changes and performs follow-up to ensure that those recommendations are effectively implemented and monitored for appropriateness
Regularly communicates to management outside the facility on recommendations made to facility management to ensure proper implementation and follow-up
Serves as a liaison between state and organization related to the state case-mix process, including electronic submission and state MDS requirements related to state payment
Assists in the recruitment/interview process for MDS and MMQ vacancies
Responsible for record audits

#7644

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