Talent.com
Clinical Reimbursement Specialist CRS

Clinical Reimbursement Specialist CRS

Laurel Health Care CompanyAsheville, NC, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love teaching and communicating with other nurses, this is a great role for you!

The successful applicant will live in North Carolina, and have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.

Join us with an attractive benefits offering :

  • Competitive pay
  • Medical, dental, and vision insurance
  • 401K with matching funds
  • Life Insurance
  • Employee discounts
  • Tuition Reimbursement
  • Student Loan Reimbursement

Responsibilities :

  • Ensure the RAI process is complete and assessments are complete.
  • Audit Completion of MDS, CAA's and care plans within regulated time frames.
  • Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
  • Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
  • Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.

    • Requirements :

  • Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
  • Knowledge of regulatory standards and compliance requirements.
  • Registered Nurse RN in the state.
  • 50% travel with some overnight stays possible.

    • Ciena Healthcare

    We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.

    We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.

    IND123

    serp_jobs.job_alerts.create_a_job

    Reimbursement Specialist • Asheville, NC, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Licensed Clinical Therapist (LISW-CP / LPC / LMFT)

    Licensed Clinical Therapist (LISW-CP / LPC / LMFT)

    LifeStance HealthFlat Rock, NC, US
    serp_jobs.job_card.full_time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel CT Tech - $2237 / Week

    Travel CT Tech - $2237 / Week

    Medpro Healthcare StaffingGreeneville, TN, US
    serp_jobs.job_card.full_time
    Medpro Healthcare Staffing is seeking an experienced CT Tech for an exciting Travel Allied job in Greeneville, TN.Shift : 3x12 hr days Start Date : 10 / 26 / 2025 Duration : 13 weeks Pay : $2237 / Week.Joi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    RCS Specialist

    RCS Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an RCS-Specialist responsible for executing team functions within Revenue Cycle Services.Key Responsibilities Execute team functions within Revenue Cycle Services to ensu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Licensed Professional Counselor (LPC-MHSP) - Joelton, TN

    Licensed Professional Counselor (LPC-MHSP) - Joelton, TN

    LifeStance HealthGreenville, TN, US
    serp_jobs.job_card.full_time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    CDL A Truck Driver

    CDL A Truck Driver

    First FleetParrottsville, TN, US
    serp_jobs.job_card.full_time
    Hiring SOLO Company Drivers - Local Home Daily!.Medical, Dental, Vision and Hearing.Matching 401(k) Retirement Plan.Short- and Long-term Disability. Quarterly Safety Bonus Program.Quarterly Fuel Eff...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel CT Tech - $1990 / Week

    Travel CT Tech - $1990 / Week

    Fusion Medical StaffingGreeneville, TN, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced CT Tech for an exciting Travel Allied job in Greeneville, TN.Shift : Inquire Start Date : 10 / 19 / 2025 Duration : 13 weeks Pay : $1990 / Week.Facility in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Field Reimbursement Manager

    Field Reimbursement Manager

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Field Reimbursement Manager (FRM) - West.Key Responsibilities Act as a subject matter expert in reimbursement, access, and specialty distribution Provide education to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Registered Nurse - Medical-Surgical - $1,623 to $1,800 per week in Clyde, NC

    Travel Registered Nurse - Medical-Surgical - $1,623 to $1,800 per week in Clyde, NC

    TravelNurseSourceClyde, NC, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Clyde, North Carolina, 28721!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
    • serp_jobs.job_card.promoted
    Travel Physical Therapy Assistant - $1241 / Week

    Travel Physical Therapy Assistant - $1241 / Week

    Fusion Medical StaffingBurnsville, NC, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced Physical Therapy Assistant for an exciting Travel Allied job in Burnsville, NC. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1241 / Week...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Trial Master File Specialist

    Trial Master File Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a TMF Specialist to manage the Trial Master File and ensure compliance with regulatory guidelines. Key Responsibilities Serve as the primary contact for internal eTMF, CTM...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Clinical Reimbursement Specialist CRS - Opportunity to Empower and Educate Healthcare Staff (ASHEVILLE)

    Clinical Reimbursement Specialist CRS - Opportunity to Empower and Educate Healthcare Staff (ASHEVILLE)

    Laurel Health Care CompanyAsheville, North Carolina, US
    serp_jobs.job_card.permanent
    Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurse...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapy Assistant - $1476.11 / Week

    Travel Physical Therapy Assistant - $1476.11 / Week

    Medical SolutionsBurnsville, NC, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking an experienced Physical Therapy Assistant for an exciting Travel Allied job in Burnsville, NC. Shift : 5x8 hr days Start Date : ASAP Duration : 13 weeks Pay : $1476.A facili...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Texas Licensed Clinical Policy Manager

    Texas Licensed Clinical Policy Manager

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Member & Recipient Services Clinician (Sun-Thurs, Remote NC)

    Member & Recipient Services Clinician (Sun-Thurs, Remote NC)

    Vaya HealthAsheville, NC, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Remote - this is a home based, virtual position.This person must reside in North Carolina or within 40 miles of the NC border. Sunday 10am-7pm and Monday-Thursday 11am-8pm.Due to the nature of the C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Registered Nurse - Emergency Room (ER) / Trauma - $1,590 to $1,739 per week in Clyde, NC

    Travel Registered Nurse - Emergency Room (ER) / Trauma - $1,590 to $1,739 per week in Clyde, NC

    TravelNurseSourceClyde, NC, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified ER / Trauma RN in Clyde, North Carolina, 28721!.Host Healthcare is an award-winning travel healthcare company with an immediate o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Nurse RN - Medical-Surgical - $1,623 to $1,800 per week in Clyde, NC

    Travel Nurse RN - Medical-Surgical - $1,623 to $1,800 per week in Clyde, NC

    TravelNurseSourceClyde, NC, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Clyde, North Carolina, 28721!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
    • serp_jobs.job_card.promoted
    Travel LTAC RN in Nashville, Tennessee

    Travel LTAC RN in Nashville, Tennessee

    Gifted HealthcareGreenville, TN, US
    serp_jobs.job_card.full_time
    Long Term Acute Care RNs (LTAC RNs) provide quality patient care during the patient assessment, intervention, and evaluation process. LTAC RNs collaborate with all members of a patient's healthc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Physical Therapy Assistant - $1373 / Week

    Travel Physical Therapy Assistant - $1373 / Week

    Medpro Healthcare StaffingBurnsville, NC, US
    serp_jobs.job_card.full_time
    Medpro Healthcare Staffing is seeking an experienced Physical Therapy Assistant for an exciting Travel Allied job in Burnsville, NC. Shift : Inquire Start Date : 10 / 20 / 2025 Duration : 13 weeks Pay : $13...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days