Find & Apply For Registered Nurse Jobs in Follansbee, West Virginia

Brightwood Center-WV, a Genesis HealthCare skilled nursing and rehab facility in Follansbee, seeks a Clinical Reimbursement Coordinator, RN. In this role, you'll lead MDS and reimbursement processes, ensuring accurate clinical documentation, case-mix management, and regulatory compliance for Medicare, Medicaid, and other payers. You'll collaborate closely with nursing, therapy, and interdisciplinary teams to align care plans with reimbursement, support audits, and educate staff. Join a compassionate, patient-centered, team-based environment with strong clinical exposure, training, and growth opportunities focused on quality outcomes. Responsibilities Oversee and coordinate clinical reimbursement processes for skilled nursing and rehab residents Review MDS assessments and documentation to ensure accuracy and regulatory compliance Collaborate with nursing, therapy, and interdisciplinary teams to optimize care and reimbursement Monitor payer requirements and stay current with Medicare/Medicaid and insurer guidelines Analyze clinical and financial data to support accurate case-mix and reimbursement levels Educate clinical staff on documentation standards and reimbursement best practices Participate in care plan meetings to align clinical care with reimbursement requirements Assist with audits, quality reviews, and corrective action plans related to reimbursement Required Skills MDS assessment and coordination Clinical reimbursement management Medicare/Medicaid regulations Payer and insurer guidelines Skilled nursing facility documentation Case-mix and

RUG/PDPM

optimization Medical record review and audit Interdisciplinary team collaboration Care planning in post-acute/long-term care Electronic health record (EHR) systems