Senior Director of Clinical Reimbursement Operations

Overview

MDS Solutions , a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Senior Director of Clinical Reimbursement Operations .

The Senior Director of Clinical Reimbursement Operations (SDCRO) is responsible for oversight and management of MDS Coordinators and financial operations within the division of MDS Solutions. The SDCRO will manage MDS coordination and client relations related to RAI assessments, reimbursement optimization, and Care Plan development in accordance with applicable laws, regulations, and company standards. The SDCRO will provide ongoing education and training to the MDS Coordinators to ensure that skills are in accordance with current reimbursement policies and federal quality reporting programs. They will audit for compliance and reimbursement optimization to ensure optimum client outcomes. The SDCRO performs well independently or with a team, utilizing clinical, analytical, communication, and customer service skills, as well as sound judgement and professionalism.

A current Registered Nurse (RN) license is required for this position. Licensed Practical Nurses (LPNs) do not meet the minimum qualifications.

What do we offer you?

• Creative, fun, and flexible working environment
• The following benefits :
• Competitive salaries and bonuses.
• Promotion / Transfer / Advancement opportunities.
• Meaningful work and job satisfaction.
• Reasonable working hours.
• CE opportunities.
• Paid time off.
• Comprehensive health, dental, and life insurance
• 401K with discretionary match
• Mileage and licensure reimbursements
• Flexible Spending Account and HSA

Responsibilities

1. Provide supervision for MDS Solutions staff, including hiring, performance management, and terminations.

2. Responsible for scheduling and managing scheduled billing hours for each MDS Coordinator under his / her supervision. Provide ongoing, consistent feedback to each MDS Coordinator.

3. Assist the Director of Education with conduct orientation and onboarding of new MDS coordinators; track all orientation timelines, materials, and on-going training for staff.

4. Identify training and performance needs of MDS coordinators and create targeted plans with action steps for performance improvement.

5. Complete regularly scheduled auditing of MDS coordinators to ensure that MDS coding and care planning meet state, federal, and MDS Solutions standards.

6. Maintain client relations through regular meetings and weekly reports to review operational performance and ensure client satisfaction.

7. Advise VP of Consulting Operations of client concerns, needs, and issues to be addressed. Follow through with agreed-upon plan of correction.

8. Maintain current knowledge in professional standards of clinical care, MDS changes, federal and state statutes / regulations, federal and state reimbursement, and Federal Quality Reporting Programs.

9. Work with VP of Consulting Operations to establish reasonable billable hours expectations per week for the SDOCRO position.

10. Assist in other related duties, as directed by VP of Consulting Operations.

Qualifications

Key Rehab is an equal opportunity employer / service provider.