Reimbursement Services Director jobs in Duluth, MN

Reimbursement Services Director directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Being a Reimbursement Services Director sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Additionally, Reimbursement Services Director develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports to top management. The Reimbursement Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Culinary Services Director
  • Monarch Healthcare Management
  • Duluth, MN FULL_TIME
  • Culinary Director

    POSITION SUMMARY

    The culinary Director is responsible for managing the culinary service department in providing quality food and nutritional services to residents. This position provides therapeutic meal service based on RDA requirements and standards set forth for quality food provision. The Director provides supervision and leadership to all Culinary Services personnel to assure that services are provided in a consistent quality manner. Planning, organizing, controlling and directing all functions of the Culinary Services department are essential to this position.

    ESSENTIAL RESPONSIBILITIES AND DUTIES

    To Assess, Plan and Implement a Nutritional Therapeutic Care Plan for Each Resident Following the RAI Standard

    • Collect data on each new resident and develop a nutritional assessment.
    • Complete appropriate portions of MDS for the interdisciplinary team on a timely basis.
    • Develop nutritional goals within a care plan for each resident.
    • Attend family/resident care conferences. • Evaluate quarterly each resident’s response to their nutritional plan of care

    To Plan, Organize, Control and Direct the Functions of the Culinary Services Department so that Food and Nutritional Services Meet the Nutritional and Therapeutic Needs of the Resident

    • Maintains proper inventory of food and supplies.
    • Processes diet changes and new diets from nursing service.
    • Assists in planning and preparation of special meals for parties, banquets, etc.
    • Visits residents to evaluate food service, develop a food and nutritional history, explain diet requirement, determine likes and dislikes, and document as required.
    • Assures update and cleanliness of diet cards.
    • Observe dining room to insure proper diets are served and approve substitutes.
    • Establishes cleaning procedures for department, follows up on effectiveness and outcome of the procedure.
    • Maintains a file of tested standardized recipes.
    • Checks diets against physician orders to ensure accuracy of diet records and physician orders.
    • Supervises cooks food preparation by random observation of certain meals.

    For the Ordering, Receiving and Storage of New Equipment and Supplies

    • Works with budget as directed by Administrator and Monarch Healthcare Management.
    • Meets with sales representatives as needed.
    • Orders supplies and equipment for Culinary Services Department.
    • Maintains records of products and prices.
    • Reports equipment in need of repair or replacement to Administrator as needed.

    For the Staffing, Scheduling and Budgeting the Efficient Operation of Culinary Services Department

    • Participates with Administrator in recruiting, selecting supervisors and terminating Culinary Services staff.
    • Determine hours allowed in Culinary Services department by use of budgeted figures and census.
    • Allocates proper distribution of Culinary Services personnel based on knowledge and skill.
    • Completes schedule and posts prior to start of next pay period.
    • Provides leadership, supervision and support to all Culinary Services staff.
    • Addresses all new employees, during orientation, regarding the Culinary Services department and supervises their training period.
    • Performs performance evaluations for dietary employees in a prompt, fair manner

    FACILITY COMPLIANCE

    • Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff feel welcome and supported
    • Maintains departmental records; i.e., food and equipment, temperature monitor, numbers of meals served, etc.
    • Attends meetings as directed to include departmental meetings, Quality Assurance meetings, etc.
    • Participates in inspections and audits of department as needed to maintain safety and sanitary conditions.
    • Holds Culinary Services staff meetings.
    • Attends educational programs on Continuous Quality Improvement, customer satisfaction and other such programs. Further completes audits as designated
    • Attends continuing education/in-services pertinent to your department and designated by the ADON.
    • Maintains and applies knowledge of current policies and procedures as it relates to your job responsibilities
    • Maintains current knowledge of federal and state regulations particularly those relating to Culinary Services.
    • Is knowledgeable of and abides by the importance of the Residents’ Bill of Rights.
    • Ability and willingness to work some evenings and weekends as directed by supervisor.

    QUALIFICATIONS

    Education and Experience

    • Must be a graduate of or currently enrolled in an approved Culinary Services Director’s course that meets the requirements for State and Federal long term care regulations.
    • Must have management and leadership qualities with a basic understanding of budgeting, food purchasing and menu planning.
    • Must have strong clear communication is a must as well as a commitment to improving the knowledge and skill of Culinary services to older persons.
    • Must be able to perform essential functions of the position with or without reasonable accommodation.
    • Must qualify for employment, after criminal background check, per guidelines of the Minnesota Department of Human Services.

    Preferred

    • Experience in healthcare, skilled nursing facility or assisted living community

    Required Skills and Abilities

    • Ability to effectively manage multiple tasks and pivot with sudden demands of your attention
    • Resilience; ability to welcome constructive feedback, course correct and not take it personally
    • Personability; ability to get along with all personality types and inspire trust with residents, staff, family
    • High emotional intelligence (EQ)
    • Ability to actively listen, with the goal of understanding
    • Ability to clearly speak and proficiently read and write in English
    • Comfort in operating in ambiguous situations and with diverse populations
    • Ability to thrive in an environment that is fast-paced and rapidly growing

    PHYSICAL DEMANDS

    The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

    Rarely = not a regular part of this job

    Occasionally = less than 1/3 of a shift

    Frequently = 1/3 to 2/3 of a shift

    Constantly = more than 2/3 of a shift

    = an essential part of the job regardless of frequency or duration

    Physical Activity

    Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs

    Standing and Walking: Constatnly needed throughout the day (ability to be mobile around the facility throughout the day)

    Sitting: Frequently sits throughout the day

    Using Hands: Constantly uses hands throughout the day

    Reaching: Frequently reaches throughout the day

    Climbing and/or Balancing: Rarely needs to climb or balance

    Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl

    Talking: Frequently needs ability to talk throughout the day

    Hearing: Constantly needs to hear and listen throughout the day

    Vision

    This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus

     

     

  • 5 Days Ago

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Director of Human Services
  • Terch & Associates LLC
  • Cloquet, MN FULL_TIME
  • Terch & Associates, on behalf of Fond du Lac Band of Lake Superior Chippewa, is seeking a community health professional to serve as the Human Services Director of the Fond du Lac at Community Health S...
  • 8 Days Ago

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Director of International Programs and Services
  • Michigan Technological University
  • Houghton, MI FULL_TIME
  • Department: International Programs & Services Essential Duties & Responsibilities (other duties may be assigned) Core functional position-specific duties* Serve as Principal Designated School Official...
  • 24 Days Ago

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Health and Human Services Director
  • St Croix Chippewa Indians of Wisconsin - Tribal Government
  • Webster, WI FULL_TIME
  • Responsibilities: - Oversee and manage the health services department, ensuring the delivery of high-quality care and services to individuals with developmental disabilities - Develop and implement pr...
  • 2 Months Ago

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Tournament Director
  • Minnesota Youth Athletic Services
  • Spring Lake, MN FULL_TIME
  • Part-Time, Seasonal, Weekend Position Earn up to $400 in a Single Weekend The Minnesota Youth Athletic Services, Inc. (MYAS) was originated in 1991 as a 501(c)(3) nonprofit organization dedicated to i...
  • 24 Days Ago

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Assisted Living Director
  • St. Francis Health Services
  • Cloquet, MN FULL_TIME
  • Position DetailsEmployment Status: Full-TimeShift: DayExpressing Christ’s love by providing care that values every human life.Come be a part of our amazing team! Suncrest Assisted Living is a beautifu...
  • 15 Days Ago

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0 Reimbursement Services Director jobs found in Duluth, MN area

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Executive Director/LALD
  • Diamond Willow Assisted Living
  • Duluth, MN
  • About Us: Diamond Willow is an Assisted Living and Memory Care facility that started in 2004. We have 9 locations throug...
  • 4/19/2024 12:00:00 AM

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Surgery Center Administrator
  • Brainerd Lakes Economic Development Corporation
  • Duluth, MN
  • Job Description Job Description POSITION TITLE: Ambulatory Surgery Center Administrator (Status Exemption) ROLE: Respons...
  • 4/19/2024 12:00:00 AM

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Executive Director
  • Hartley Nature Center
  • Duluth, MN
  • About the Position The Executive Director (ED) holds responsibility for day-to-day operations as well as working with a ...
  • 4/17/2024 12:00:00 AM

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Sales Director - (NO EXPERIENCE REQUIRED)
  • Infinity Business Group
  • Duluth, MN
  • Job Description Job Description Do you have a natural ability to connect with people? Have you been looking for a career...
  • 4/16/2024 12:00:00 AM

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Program Director
  • DRCC
  • Duluth, MN
  • DRCC is seeking a Program Director for our Birch location in Proctor, MN who will successfully provide the programmatic ...
  • 4/16/2024 12:00:00 AM

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Foreign Exchange Local Coordinator for HS Student Exchange Program
  • Greenheart Exchange
  • Duluth, MN
  • Job Description Job Description By becoming a Greenheart Exchange Local Coordinator, you have the opportunity to change ...
  • 4/15/2024 12:00:00 AM

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Nursing Assistant
  • Essentia Health
  • Duluth, MN
  • Job Description: Responsible for providing direct care to patients and serving the needs of patients in a manner conduci...
  • 2/20/2024 12:00:00 AM

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Nursing Assistant - Ortho/Urology
  • Essentia Health
  • Duluth, MN
  • Job Description: Responsible for providing direct care to patients and serving the needs of patients in a manner conduci...
  • 1/16/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 87.43 square miles (226.44 km2); 67.79 square miles (175.58 km2) is land and 19.64 square miles (50.87 km2) is water. It is Minnesota's second-largest city by land area, surpassed only by Hibbing. Of its 87.3 square miles (226 km2), 68 square miles (180 km2), or 77.89%, is land and 19.3 square miles (50 km2), or 22.11%, is water. Duluth's canal connects Lake Superior to the Duluth–Superior harbor and the Saint Louis River. It is spanned by the Aerial Lift Bridge, which connects Canal Park with Minnesota Point ("Park Poi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$145,503 to $207,199
Duluth, Minnesota area prices
were up 1.3% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020