<p>Apply</p> <p>Job Type</p> <p>Full-time</p> <p>Description</p> <p>We are seeking a registered nurse (RN) who has experience working in a skilled nursing facility to join our team. The Clinical Reimbursement specialist will oversee the nursing home assessment and submission of Minimum Data Set (MDS). This role is 100% onsite Monday - Friday working in a facility/office setting.</p> <p>If you are a highly motivated individual with a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities.</p> <p>We would love to meet you!</p> <p>Summary</p> <ul> <li>Maintains and actively promotes effective communication with all individuals. </li><li>Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. </li><li>Will ensure center adheres to Medicare coverage requirements; such as certification, assessment, and advance beneficiary notice. </li><li>Will oversee the Medicare meeting and provide direction to support process improvement. </li><li>Will oversee and assure accuracy/quality of the MDS/RAI process, including scheduling, completion and content. </li><li>Will be responsible to review 24 hr. report, physician orders, stand up meeting minutes daily, and monitor for any resident MDS/insurance coverage issues. </li><li>Will manage all requirements to authorize coverage & continued stay from HMO, Insurance, and LTC Policies. </li><li>Will maintain a strong working relationship therapy to determine assessment reference dates, insurance coverage criteria, and patient rehabilitative plan of care. </li><li>Performs other duties, as assigned. </li></ul> <p>Requirements</p> <ul> <li>Nursing Home Experience </li><li>Current license in good standing to practice in Wisconsin as a Registered Nurse. </li><li>AANAC Resident Assessment Coordinator Certification Preferred. </li><li>4-5 years of experience in Minimum Data Set preferred. </li><li>Ability to navigate and effectively utilize an Electronic Medical Record program </li><li>Current CPR certification </li><li>Commitment to quality outcomes and services for all individuals. </li><li>Ability to relate well to all individuals. </li><li>Ability to maintain and protect the confidentiality of information. </li><li>Ability to exercise independent judgment and make sound decisions. </li><li>Ability to adapt to change. </li></ul> <p>Benefits</p> <ul> <li>Health, Dental, & Vision Insurance </li><li>Health Saving Account with Potential Company Contributions </li><li>401(k) with Company Match </li><li>Financial and Retirement Planning at No Charge </li><li>Paid Time Off and Holidays </li><li>Basic Life Insurance & AD&D - Company Paid </li><li>Short and Long Term Disability - Company Paid </li><li>Voluntary Ancillary Coverage </li><li>Referral Bonuses </li><li>Employee Assistance Program </li></ul> <p>Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart, management support and consulting.</p> <p>The people of Illuminus are not just our colleagues, our employees, our residents-they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.</p> <p>#IlluminusHQ</p>