Regional RAI Specialist (Clinical Reimbursement

Regional RAI Specialist (Clinical Reimbursement) - Evansville, Jasper and Yorktown, IN (This position is NOT REMOTE)We are seeking an experienced Regional RAI Specialist to support skilled nursing facilities in and around the Evansville, Jasper and Yorktown areas. This role focuses on clinical reimbursement, MDS accuracy, and regulatory compliance, making it ideal for a detail-oriented professional with a strong understanding of the RAI process and a commitment to ensuring optimal reimbursement and quality care.Benefits:Competitive salary and benefits packageTravel reimbursementOpportunities for professional growthSupportive regional leadership teamResponsibilities:Provide MDS guidance and support to facility-based MDS Coordinators, ensuring compliance with state and federal regulationsAssist in the accurate completion and timely submission of MDS assessmentsConduct audits to ensure compliance with reimbursement guidelines and clinical documentation standardsEducate facility teams on evolving regulatory changes, reimbursement protocols, and best practicesCollaborate with interdisciplinary teams to enhance clinical outcomes and financial performanceSupport facilities in optimizing case mix, PDPM reimbursement, and quality measuresRequirements:Active RN or LPN licenseMinimum of five years of MDS/RAI experience in a skilled nursing settingStrong knowledge of PDPM, Medicare/Medicaid reimbursement, and regulatory guidelinesExperience in training and educating MDS teamsIf you are an experienced clinical reimbursement professional looking for a regional leadership role, we encourage you to apply today!INDCONF2

Created: 2025-06-24