RN - Clinical Coordinator
3 weeks ago
Job Summary:
The RN - MDS Coordinator is responsible for overseeing the completion of Medicare PPS MDS and OBRA assessments for subacute and long-term care. This role requires expertise in assessment and reimbursement methodology, as well as excellent communication and organizational skills.
Key Responsibilities:
- Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care.
- Establishes the schedule for completion of the Medicare required assessments to maximize reimbursement and RUGs categories for each individual assessment.
- Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare days in the facility.
- Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided.
Requirements:
- Licensed Professional Nurse (RN licensure preferred) with current license in state employed.
- Prior experience with MDS 3.0 scheduling, coding and submission requirements preferred.
- Experience with PointClickCare preferred.
- Experience with Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred.
- Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage.
- Excellent verbal and written communication skills.
- Self-motivated, highly organized, and dedicated.
- This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.
Benefits:
- EARN 16% more with our Pay in Lieu of Benefits Program.
- Increased Tuition Reimbursement Program for Clinical Tracks.
- Shift Differentials.
- Full Benefits Package.
- 401k PLUS Employer Matching.
- Employee Referral Program.
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