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| Contact Name: | Jasmin Hines |
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| Company: | HealthBridge Managemant |
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| Email: | jhines@healthbridgemanagement.com |
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| Position Title: | Clinical Reimbursement Specialist/Westport, CT |
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| Description: | With nine sub acute and rehabilitation facilities in Connecticut, HealthBridge Management is one of the leading health care providers in the state.
We are seeking a Clinical Reimbursement Specialist:
Position Summary: The Clinical Reimbursement Specialist assures the management of the Medicare and Managed Care reimbursement for 6 facilities in Connecticut. This position reports directly to the CT Director of Clinical Reimbursement. In this role you will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicare reimbursement possible for assigned facilities. Ensure that the services offered exceed federal, state and company standards.
Duties and Responsibilities included but are not limited to:
· Implement and Direct Medicare auditing and systems review of: Admission prescreening and documentation requirements, Financial documentation requirements, Clinical Documentation, Strategic selection of assessment reference dates, MDS accuracy, ADL score tracking, Denials Management, RUGs management, Therapy implementation and documentation
· Provide interdisciplinary team training of MDS and PPS, documentation requirements, RUGs groups, Admission strategies, Role and responsibility of the Clinical Reimbursement Coordinator, Managed Care contracts and updates, HIPPS coding, Consolidated Billing.
· Engage facility management team in problem solving process to identify improvement opportunities and achieve solution.
· Evaluate performance of the CRC staff and make recommendations regarding staff assignments, assessment procedure and maximizing reimbursement. On going evaluation of the effectiveness of reimbursement staff
· Keep facilities informed of updates and regulation changes
· Perform Financial Analysis of: rate projections, vendor contact strategies, monthly RUGS distribution, length of stay analysis,
· Assist in Part B program development and budget process
· Perform Clinical analysis to: monitor weekly utilization review meeting, monitor daily PPS meeting,
· Perform Clinical analysis of: Month end Triple check and nursing documentation
Job Requirements:
· Must be a Registered Nurse with state
· Minimum of 3 years healthcare
· Proven knowledge of quality improvement processes with an emphasis on claim coding, MDS and associated clinical documentation auditing and correction process.
· Current licensing and credentials as required
Contact: Jasmin J. Hines
201-969-2329 Office
201-248-3001 Cell
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| Date Posted: | 2010-01-15 06:15:12 |
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| Posted By: | lmorell |
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| Contact Name: | Jasmin Hines |
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| Company: | Long Ridge of Stamford: CRC |
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| Email: | jhines@healthbridgemanagement.com |
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| Position Title: | Clinical Reimbursement Coordinator |
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| Description: | Long Ridge of Stamford is a 120 bed sub acute and rehab skilled nursing located in Fairfield County. Making a difference is what we’re all about. We’ve combine excellent health care service and caring for others to form the Long Ridge of Stamford. And we’re always interested in adding another member to our committed staff of professionals!
The Clinical Reimbursement Coordinator assures the management of the Medicare, and managed care reimbursement for Long Ridge of Stamford facility. This position reports directly to the Director of Clinical Reimbursement for HealthBridge Management.
You will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicaid/Medicare reimbursement possible for assigned facilities. Ensure that the services offered exceed federal, state, and company standards. Serve as a role model for ethical business practices according to standards.
We offer a generous compensation & benefits package for this 32-40 hour role.
There are no on-call duties for this position!
Job Requirements:
· Must possess a current unencumbered license to practice Nursing
· Registered Nursed license preferred, License Practical Nursing License required
· Must be knowledgeable of nursing and medical practices and procedures as well as laws, regulations and guidelines that pertain to long term care
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| Date Posted: | 2010-01-15 06:03:01 |
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| Posted By: | lmorell |
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| Contact Name: | Jasmin Hines |
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| Company: | Wethersfield Health Care Center |
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| Email: | jhines@healthbridgemanagement.com |
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| Position Title: | Clinical Reimbursement Coordinator |
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| Description: | Wethersfield Health Care Center is a prestigious 210 bed skilled nursing center in Hartford County. With a focus on quality patient care and strong management principles, Wethersfield Health Care Center has developed a reputation as one of the finest, well regarded healthcare centers in Connecticut.
The Clinical Reimbursement Coordinator assures the management of the Medicare, and managed care reimbursement for Long Ridge of Stamford facility. This position reports directly to the Director of Clinical Reimbursement for HealthBridge Management.
You will be responsible for regulatory compliance and quality improvement efforts, in order to attain the appropriate Medicaid/Medicare reimbursement possible for assigned facilities. Ensure that the services offered exceed federal, state, and company standards. Serve as a role model for ethical business practices according to standards.
We offer a generous compensation & benefits package for this 32-40 hour role.
There are no on-call duties for this position!
Job Requirements:
· Must possess a current unencumbered license to practice Nursing
· Registered Nursed license preferred, License Practical Nursing License required
· Must be knowledgeable of nursing and medical practices and procedures as well as laws, regulations and guidelines that pertain to long term care.
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| Date Posted: | 2010-01-15 05:51:49 |
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| Posted By: | lmorell |
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| Contact Name: | |
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| Company: | |
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| Email: | administrator@socomds.com |
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| Position Title: | MDS Coordinator |
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| Description: | MDS Coordinator seeks 24 hour position in Fairfield County to compliment your team. Experience includes OBRA, PPS and Managed Care scheduling and completion; care plans and meetings; QI/QM reporting and transmission; Medicare denial letters/claims management. Medical benefits desired; salary negotiable.
Email: administrator@socomds.com to contact
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| Date Posted: | 2009-06-08 11:27:36 |
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| Posted By: | lmorell |
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