Talent.com
Clinical Reimbursement Specialist CRS

Clinical Reimbursement Specialist CRS

Laurel Health Care CompanyAsheville, NC, United States
job_description.job_card.30_days_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
    Clinical Nurse Coordinator

    Clinical Nurse Coordinator

    HCA HealthcareHendersonville, NC, US
    serp_jobs.job_card.full_time +1
    This position is eligible for a sign on bonus with a two year commitment to Mission Health! •Only new hires eligible for sign-on bonus. prior employees have to be separated from Mission for at leas...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - Corrections - $2083.23 / Week

    Travel Nurse - RN - Corrections - $2083.23 / Week

    Cynet HealthBlack Mountain, NC, US
    serp_jobs.job_card.full_time
    Cynet Health is seeking an experienced Corrections Registered Nurse for an exciting Travel Nursing job in Black Mountain, NC. Shift : 3x12 hr days Start Date : 10 / 20 / 2025 Duration : 13 weeks Pay : $2083...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Physical Therapist (PT)

    Physical Therapist (PT)

    Autumn Care of WaynesvilleWaynesville, NC, US
    serp_jobs.job_card.full_time +1
    Empower healing and restore independence-join our compassionate therapy team in a skilled nursing facility and make a meaningful impact in the lives of residents every step of the way!.On Demand Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Registered Nurse (RN), Infection Preventionist

    Registered Nurse (RN), Infection Preventionist

    Haywood Regional Medical CenterClyde, NC, US
    serp_jobs.job_card.part_time
    Registered Nurse (RN) - Infection Preventionist.Haywood Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast.We are driven b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • 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
    Intake Specialist

    Intake Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an Intake Specialist to manage patient referrals and documentation in a remote setting.Key Responsibilities Accurately enters referrals and communicates with referral sou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    AR Specialist

    AR Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an AR Specialist.Key Responsibilities Identify errors in claims processing and follow up on unpaid balances Analyze patient accounts and communicate with insurance repre...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • 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.Key Responsibilities Solve complex patient access issues by collaborating with various stakeholders Educate healthcare providers and office...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • 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 Nurse - RN - Corrections - $2083.23 / Week - Hiring Now

    Travel Nurse - RN - Corrections - $2083.23 / Week - Hiring Now

    Cynet HealthBlack Mountain, NC, US
    serp_jobs.job_card.full_time
    Cynet Health is seeking an experienced Corrections Registered Nurse for an exciting Travel Nursing job in Black Mountain, NC. Shift : 3x12 hr days Start Date : 10 / 20 / 2025 Duration : 13 weeks Pay : $2083...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Registered Nurse Trauma Spine

    Registered Nurse Trauma Spine

    HCA HealthcareWaynesville, NC, US
    serp_jobs.job_card.full_time +1
    This position is eligible for a sign on bonus with a two year commitment to Mission Health! .Only new hires eligible for sign-on bonus. prior employees have to be separated from Mission for at...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Licensed Patient Programs Specialist

    Licensed Patient Programs Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Patient Programs Specialist (Remote).Key Responsibilities Support management of complex and high-risk clinical situations for providers and patients Investigate clinic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Central Authorization Specialist

    Central Authorization Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Central Authorization Specialist to facilitate insurance authorizations for procedures and post-operative care. Key Responsibilities Procure and validate insurance autho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    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_days
    • 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
    Travel Physical Therapy Assistant

    Travel Physical Therapy Assistant

    Medical Solutions AlliedBurnsville, NC, US
    serp_jobs.job_card.full_time
    Medical Solutions Allied is seeking a travel Physical Therapy Assistant for a travel job in Burnsville, North Carolina.Job Description & Requirements. We’re seeking talented healthcare pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Authorization Specialist

    Authorization Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an Authorization Specialist to join their Patient Access-Registration team.Key Responsibilities Ensure accurate prior and ongoing authorizations by collecting demographic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Coding Reimbursement Specialist

    Senior Coding Reimbursement Specialist

    VirtualVocationsAsheville, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Coding Reimbursement Specialist Senior Revenue Cycle.Key Responsibilities Serve as a subject matter expert in complex coding, including surgical coding and charge recon...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day