MDS/UR Consultant

Voted one of the best companies to work for by Modern Healthcare Magazine:

Renew Health Consulting Services is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities.

We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one’s self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it’s returning home or staying with us for their long term care needs

Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team

Compensation & Benefits:

• As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need.
• Pay is market competitive and negotiable based on your experience.
• Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans.
• Full-time employees will be eligible for Tuition Assistance.
• 401K.

The anticipated pay range for candidates who will work in California is $150K to $165K annually. The offered pay to a successful candidate will be dependent on several factors that may include but are not limited to years of experience within the job, years of experience within the required industry, education, etc.

We are looking for full-time RN PDPM/MDS Consultant

Responsibilities:

• Responsible for visiting facilities in the assigned Region(s) on a regular basis and ensuring the accurate and timely submission of patient assessments, care planning, and billing processes that comply with the Patient-Driven Payment Model (PDPM).
• Conduct comprehensive assessments of patient's clinical needs and identify potential PDPM coding opportunities.
• Collaborate with interdisciplinary teams to develop patient-centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM.
• Analyses and organizes PDPM and case mix data to ensure appropriate utilization of resources.
• Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations.
• Monitor and analyze PDPM-related data, including patient outcomes, revenue, and compliance metrics, and provide regular reports to senior leadership.
• Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation.
• Ongoing QA of medical records for the presence of supporting documentation for all items coded on the MDS.
• Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning
• Serve as a subject matter expert on PDPM to internal and external stakeholders, including regulatory bodies, payers, and auditors.
• Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM.
• Maintain up-to-date knowledge of PDPM regulations and industry best practices and share this information with the facility and management.

Qualifications:

• Bachelor's degree in nursing or related clinical field; Master's degree preferred.
• Active RN license or relevant clinical licensure.
• Experience with MDS completion preferred.
• Minimum of 3-5 years of clinical experience in a healthcare setting.
• Experience with Federal Medicare Skilling and Long term care billing.
• In-depth knowledge of the PDPM reimbursement system and CMS regulations.

Submit your application and join our award-winning team

We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance.

INDHP