Reimbursement Services Director jobs in Spokane, WA

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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DIRECTOR OF RESIDENTIAL CARE SERVICES
  • Newport Hospital and Health Services
  • Newport, WA OTHER
  • Job Details

    Job Location:    River Mountain Advanced Care Assisted Living - Newport, WA
    Position Type:    Full Time
    Education Level:    4 Year Degree
    Salary Range:    $96,437.96 - $146,044.11 Salary/year
    Job Shift:    Days
    Job Category:    Nurse

    Description

    Primary Scheduled Hours: Full time 80 hours - Exempt 

     

    Job Summary:

    Actively involved, at the executive level, in the leadership of the organization. Organizes and administers areas of Resident Care Services to attain the facility's objectives established by the Governing Body. Manages nursing services on a 24-hour basis for a group of clinical services. Plans and supervises patient care, manages nursing and support personnel assuring that appropriate continuing education is maintained, and resolves emergency and problem situations. Responsibility typically includes developing or contributing to annual operating budget and monitoring expenses within prescribed parameters.

    Who are we?

    • Newport Hospital and Health Services is located in Newport, WA on the Washington-Idaho border. We are an independent rural healthcare provider.
    • Newport Hospital and Health Services consists of:
      • 24 bed Rural Community Hospital - Trauma Level IV
      • 15 providers Rural Health Clinic
      • 72 bed, high level care, Advanced Assisted Living Facility
      • 42 apartment; low-moderate care level Assisted Living Facility
      • Pharmacy/Retail Pharmacy

    Education Background and Experience

    Minimum Education:

     

    • A minimum of a Bachelor’s Degree in healthcare management or nursing.
    • Graduate of an accredited school of nursing.

    Required Licensure / Certifications:

    Active WAState or Multi-state compact RN license with the authority to work in WAState

    Required Experience:

     

     

    • Minimum ten(10) years prior experience in resident care services.
    • Minimum five (5) years as a Manager or Director.

     

    Preferred Qualifications:

    Master's Degree

     

    Professional Requirements

    • Maintain regulatory requirements.
    • Report to work on time and as scheduled; complete work within designated timelines.
    • Demonstrates the ability to adhere to the mission, ethics and goals of the District.
    • Demonstrates the ability to communicate with patients, guests and staff in a courteous, respectful and helpful manner.

    Essential Job Functions

    • Implements standards of nursing practice reviewing and revising as necessary to reflect changes in nursing practice and resident population.
    • Responsible for the provision of nursing services 24 hours a day, seven (7) days a week.
    • Addresses and supports cultural practices as long as such practices do not harm others or interfere with the planned course of medical therapy.
    • Ensures clear, concise and current written policies and procedures are available to assist the staff and minimize risk factors.
    • Recommends modifications, additions or deletions to nursing staffing plans to ensure reasonable hours and acceptable working conditions to provide optimal resident care coverage.
    • Initiates and participates in problem solving, policy forming conferences for resident care services. Maintains close coordination with all departments to insure continuity and collaboration of services.
    • Performs all aspects of resident care in an environment that optimizes resident safety and reduces the likelihood of medical/health care errors.
    • Participates with the Governing Body, Administrator, Medical Director and clinical leaders in the facility's decision-making process:
    • Plans and recommends to Administrator new facilities or equipment or modifications thereto needed to provide resident care.

     

    Successful candidates typically begin between the beginning and midpoint of the compensation range ($96,437.96 - $122,149.46/ annually) dependent on qualifications/experience and receive compensation increment increases annually.

     

    Qualified employees of Newport Hospital & Health Services are offered the following benefits:

    • We offer competitive wages.
    • Comprehensive benefit package including:
      • Medical
      • Dental
      • Vision
      • Retirement with a 6% dollar for dollar employer match
      • Long Term Disability
      • AFLAC
      • Flexible Spending Account
    • We provide a complimentary gym membership
    • We offer various tuition assistance programs
    • We give back to our community snack bags for local schools and assist with Meals on Wheels for our elderly.
    • We work where we play - Three major ski resorts are located within one hour of Newport, numerous lakes, rivers, and hiking trails. Truly an abundance of outdoor recreation.
      • https://pocedc.org/
      • https://newporthospitalandhealth.org/gallery/
    • All employees are given the opportunity to learn and advance within the organization.
    • We offer strong family-like support system
    • Collaboration and team building is supported and developed using teaching and practice of the 7 Habits of Highly Effective People.

     

    Newport Hospital & Health Services (NHHS)is committed to a diverse and inclusive workplace. NHHS is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

    NHHS employs only U.S. citizens and lawfully authorized non-U.S. citizens. All new employees must show employment eligibility verification as required by the U.S. Citizenship and Immigration Services.

    NHHS is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact Human Resources at 509-447-6320.

    Qualifications


  • 11 Days Ago

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Director of Health Services (RN)
  • The Springs at Whitefish
  • Whitefish, MT FULL_TIME
  • The Springs at Whitefish is seeking a Director of Health Services/RN to support a professional Health Services care team comprised of an administrator, resident service coordinators, medication techni...
  • 17 Days Ago

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Director of Counseling Services
  • Pend Oreille County
  • Newport, WA FULL_TIME
  • ** Warning: we are currently having technical difficulties with our online application submission. If you would like to apply and are having issues, you can call our office or email your resume and ap...
  • 18 Days Ago

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Health Care Services Director
  • Rockwood Retirement Communities
  • Spokane, WA FULL_TIME
  • This position is responsible for directing health care services of our assisted living and memory support care settings as well as supportive health care programs for our independent living residents....
  • 21 Days Ago

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Director, Career Services
  • University of Idaho
  • Moscow, ID FULL_TIME
  • University of Idaho Director, Career Services Location: Moscow Division/College: Vice Provost for Strategic Enrollment Management Employee Category: Exempt Pay Range: $85,000 annually or higher depend...
  • 22 Days Ago

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Health Services Director
  • Pine Ridge
  • Spokane, WA FULL_TIME
  • Position DetailsEmployment Status: Full-TimeIs Remote: NoSalary: 80000.00 - 85000.00 AnnuallyWhy You Should Work With Us: As a Sinceri Senior Living company, we are a fun loving, employee-centric comm...
  • Just Posted

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0 Reimbursement Services Director jobs found in Spokane, WA area

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Community Director
  • Affinity Living Communities
  • Spokane, WA
  • Who We Are: Axis Residential is a forward-thinking, property management organization, part of Inland Group - a verticall...
  • 4/26/2024 12:00:00 AM

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Director of Information Technology
  • Krambu Inc.
  • Coeur D Alene, ID
  • Company Description KRAMBU INC. is an independent provider/advisor of enterprise compute solutions based in Coeur d'Alen...
  • 4/26/2024 12:00:00 AM

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Medical Director
  • Adecco US, Inc.
  • Otis Orchards, WA
  • We are currently seeking a **Medical Director** (Veterinarian) in the **Otis Orchards, WA** area. We are looking for a h...
  • 4/25/2024 12:00:00 AM

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Center Operations Director - Float
  • Concentra
  • Spokane, WA
  • Overview: Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care...
  • 4/25/2024 12:00:00 AM

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Executive Director Specialist RN
  • Curo Health Services
  • Liberty Lake, WA
  • Our Company Gentiva Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, ...
  • 4/24/2024 12:00:00 AM

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Tax Director
  • Jobot
  • Spokane, WA
  • This Jobot Job is hosted by: Emily BohanonAre you a fit? Easy Apply now by clicking the 'Apply' buttonand sending us you...
  • 4/23/2024 12:00:00 AM

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Social Services Director
  • Avalon Health Care Group
  • Spokane, WA
  • Avalon Care Center Northpointe in Spokane is seeking a dependable and experienced Social Services Director to join our o...
  • 4/23/2024 12:00:00 AM

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Director of Rehabilitation (Relocate to Oregon)
  • Reliant Rehabilitation Careers
  • Spokane, WA
  • Overview:Must be a license PT, OT, SLP, COTA or PTA to apply.When you join Reliants therapy team, you join a team that m...
  • 4/23/2024 12:00:00 AM

Spokane (/ˌspoʊˈkæn/ (listen) spoh-KAN) is a city in Spokane County in the state of Washington in the northwestern United States. It is located on the Spokane River west of the Rocky Mountain foothills in eastern Washington, 92 miles (148 km) south of the Canada–US border, 18 miles (30 km) from the Washington–Idaho border, and 228 miles (367 km) east of Seattle along Interstate 90. Known as the birthplace of Father's Day, Spokane's official nickname is the "Lilac City". A pink, double flower lilac variety known as 'Syringa Spokane' is named for the city. It is the seat of Spokane County and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$153,636 to $218,781
Spokane, Washington area prices
were up 2.9% 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