HCR ManorCare

  • Lancaster, PA, USA
Jan 29, 2022
HCR ManorCare San Francisco, CA, USA
Description ProMedica Senior Care is hiring for a Clinicial Reimbursement Specialist to cover our California region The Clinical Reimbursement Specialist is responsible to review Medicare/Medicaid documentation to assist nursing centers in completing MDS to ensure appropriate levels of Medicare and/or Medicaid reimbursement. Works with RDOs, Administrators, and facility staff in training/consulting on traditional Medicare A coverage, documentation, and eligibility. As part of a regional team (MRBS, RRM, CMS), assists with monitoring medical records requests for M2 and Managed Medicaid payers to ensure they are tracked and responded to in a timely manner. This role will cover skilled nursing facilities in the Washington and Colorado regions and candidates must live in that area. Responsibilities: Monitors that facilities follow Medicare/Medicaid regulatory and HCR ManorCare guidelines. Remains abreast of regulatory change for Medicare/Medicaid reimbursement and communicates...
Jan 29, 2022
HCR ManorCare South Point, OH, USA
ProMedica is a mission-based, not-for-profit health and well-being organization headquartered in Toledo, Ohio. It serves communities in 26 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 49,000 employees, 12 hospitals, 2,500 physicians and advanced practice providers with privileges, 1,000 healthcare providers employed by ProMedica Physicians, a health plan, and senior care services.ProMedica`s senior care division, formerly known as HCR ManorCare, operates 335 assisted living facilities, skilled nursing centers, memory care communities and hospice and home health care agencies. Services are provided in 26 states and currently operate under the brand names Heartland, ManorCare, ProMedica and Arden Courts. Over the next 6 months, the senior care entities will continue to rebrand to ProMedica.Driven by its Mission to improve your health and well-being,...