Regional Reimbursement Nurse

2 weeks ago


Brooklyn, United States Kentucky Topaz SNF Group Full time

Kentucky Topaz SNF Group -

MDS/PDPM Regional Director

Job Description:

To plan, organize and direct the MDS process in accordance with federal and state standards, guidelines, and regulations governing our facility. R.N or L.P.N

Responsibilities:

  • Monitor and document the management of the Medicare, HMO and Managed Care residents in collaboration with facility team members.
  • Maintain and update schedules of MDSs.
  • Oversee the coordination and participate in the completion of the Resident Assessment Instrument (MDS, CAAs and Care Plan)
  • Assist in completion of the Resident Assessment with the Interdisciplinary Team.
  • Assure that MDS, RAI process and Care plans are completed and transmitted timely.
  • Assist in audits, denials and ADRs as requested by CES.

Requirements/Qualifications:

  • Valid license as a Registered Nurse
  • 5+ years of nursing experience in similar setting.
  • 3+ years of experience as a MDS Coordinator.
  • RAC-CT or RNAC preferred.


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