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Vice President Of Clinical Reimbursement - Remote

Company: Healthpro Heritage, LLC
Location: Greenville
Posted on: November 24, 2022

Job Description:

Overview:Overview:The Vice President of Clinical Reimbursement position provides the leadership, consultation and strategy necessary to optimize clinical reimbursement, clinical and reimbursement process development and work flow through analytics, program analysis and work plan development with our partners across the organization. The RN level position requires knowledge of infection prevention and control best practices and strategies. The position accomplishes this through a respectful, constructive and energetic style, guided by the objectives of the company. As one of the company's experts and clinical reimbursement support, this position functions as a member of the Company's clinical strategies consulting division for the Company, in alignment with our mission and values. Must be an RN AND reimbursement specialist and be willing to travel throughout the US. MUST have RAC-CT and SNF experience.INDCYNResponsibilities:Responsibilities:Clinical and Compliance Management:Provides in-services and training to facility clinical staff as neededFunctions as a resource for clinical reimbursement program, caseload development, education & trainingCompletes remote and onsite PDPM, CMI, MDS & QM audits as indicatedParticipates in teleMDS remote strategic partnership audits as neededleads and participates in video conferencing and educational webinars as neededCollaborates with Operation, Clinical Strategies and QAC while working on various partnership and internal education, training, strategy, etc.Maintains a caseload of consulting clients, working with those clients to set up visits, remote audits, program analysis and work plan and implementation as indicated by each specific contractCollaborates with business development in the sale of consulting and rehab services ongoing as well as contract extensionParticipates in ongoing clinical strategies consulting webinars and team calls to discuss strategy and best practice as well as partner and operations education and trainingStays up to date on industry trends, regulations, reimbursement changes, and other changes as needed to be effective in the current role.Plays an active role in ensuring current clients are invoiced according to the services providedCustomer Relationships:Fosters excellence in customer relationships and meets with and maintains relationships with key facility leadership through regular written, verbal and in-person communications.Addresses customer and employee concerns in timely manner and communicates issues to Senior Management as neededParticipate in strategic partnership reviews with customer senior management team members for customersReinforces communications from the Company regarding regulatory and other industry updatesElicits constructive feedback from all clients on an ongoing basis and as needed to maintain a strong and ongoing partnership.Qualifications:Qualifications:Bachelors, Master's Degree and or Doctorate Degree in Nursing, Healthcare Reimbursement Specialist or Healthcare educatorCurrent license in at least one of the state(s) assignedMinimum of 5 years of clinical reimbursement experienceMDS certification (RAC-CT) preferredProven leadership and program development/supervisory experience, including multi-site management experience, including cross continuum practicesKnowledge of state, federal and nursing practice act legislation/law and accreditation standardsHighly skilled in virtual and technological communications and interactionsInterdisciplinary management and understanding essentialMust pass Medical and Physical examination based on job qualifications, requirements and duties/responsibilitiesValid driver's license and means of personal transportation to service multi state geography as definedCourse taken and an understanding in infection prevention and control - CDC course completionRecruiter : Email Address: ctorres@healthpro-heritage.com

Keywords: Healthpro Heritage, LLC, Greenville , Vice President Of Clinical Reimbursement - Remote, Other , Greenville, South Carolina

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