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Regional RAI Specialist (RN) – Clinical Reimbursement

Confidential Healthcare Facility
Fort Wayne, IN

Quick Apply

Job Details

Full-time
13 days ago

Benefits

Travel reimbursement
Opportunities for advancement

Qualifications

Skilled nursing facility experience
Long term care experience
Long-term care regulations
Medicare
RN License
MDS
Clinical staff training
Medicare regulations
Clinical staff mentoring
Medicaid regulations
Medicaid
Healthcare reimbursement methods

Full Job Description

Regional RAI Specialist (RN) – Clinical Reimbursement

Location: Fort Wayne, IN (Supporting Northern Indiana Territory)
Company: Clinical Consulting Services (CCS)

Schedule: This is NOT a fully remote role

Lead Clinical Reimbursement Excellence Across Northern Indiana

Clinical Consulting Services (CCS) is seeking an experienced Regional RAI Specialist (RN) to support multiple skilled nursing facilities throughout Northern Indiana. Candidates should be based in or near the Fort Wayne area and be comfortable traveling throughout the assigned territory.

This is an outstanding opportunity for an experienced Registered Nurse who is passionate about MDS accuracy, clinical reimbursement, regulatory compliance, and mentoring facility teams. If you thrive in a collaborative environment where you can make a meaningful impact on both resident care and facility performance, we'd love to hear from you.

Why Join CCS?

Comprehensive Benefits Package
Mileage & Travel Reimbursement
Opportunities for Career Growth and Advancement
Supportive Regional Leadership
Collaborative, Team-Focused Culture
Opportunity to positively impact multiple skilled nursing facilities

Responsibilities

Provide clinical reimbursement and RAI/MDS support to facility-based MDS Coordinators throughout Northern Indiana.
Ensure accurate and timely completion and submission of all MDS assessments.
Conduct routine MDS and reimbursement audits to ensure compliance with state and federal regulations.
Educate and mentor facility teams on RAI processes, PDPM reimbursement, regulatory updates, and documentation best practices.
Partner with Administrators, Directors of Nursing, MDS Coordinators, and interdisciplinary teams to improve clinical and financial outcomes.
Assist facilities in optimizing Case Mix Index (CMI), PDPM reimbursement, and Quality Measures.
Identify opportunities for process improvement and provide ongoing education and operational support.
Serve as a clinical reimbursement resource for multiple skilled nursing facilities within the region.

Qualifications

Active Registered Nurse (RN) license required.
Minimum of five (5) years of MDS/RAI experience in a skilled nursing facility.
Extensive knowledge of PDPM, Medicare and Medicaid reimbursement, and skilled nursing regulations.
Previous experience mentoring, educating, or supporting MDS teams.
Strong analytical, organizational, problem-solving, and communication skills.
Ability to travel throughout the Northern Indiana territory.

Join Our Team

At Clinical Consulting Services (CCS), we partner with skilled nursing facilities to deliver expert clinical reimbursement support, regulatory guidance, and operational excellence. If you're an experienced RN looking to expand your impact beyond a single facility while working with a supportive and respected regional team, we encourage you to apply today.

INDCONFRNAC

Quick Apply

Refine Your Search

clinical documentation specialist remote jobs in indiana

Regional RAI Specialist (RN) – Clinical Reimbursement

Charge Entry Specialist

Behavioral health billing specialist, PRN

RCM / Collections Specialist / Medical Biller - Remote - Eastern Time Zone

RCM / Collections Specialist / Medical Biller - Remote - Eastern Time Zone

Coder II - Inpatient Coder

Medical Billing Analyst

CERTIFIED MEDICAL CODER

Inpatient Coding Analyst

Revenue Cycle Billing Specialist

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Regional RAI Specialist (RN) – Clinical Reimbursement

Lead Clinical Reimbursement Excellence Across Northern Indiana

Why Join CCS?

Responsibilities

Qualifications

Join Our Team

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