MDS/PCC Coordinator RN- Hollymead

1 day ago


Flower Mound, Texas, United States Cantex Full time

Job Summary:

The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. This role is responsible for managing quality patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.

Key Responsibilities:

  • Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
  • Participates in the assessment of pre-admission paperwork to ensure patient meets qualifying medical necessity determination.
  • Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
  • Audits the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
  • Obtains Medicare qualifying diagnosis(es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
  • Initiates and updates the physician certifications for each Medicare Part A Patient.
  • Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
  • Reviews the 24-hour Nursing report to capture possible change in condition of a patient.
  • Prepares for all Medicaid audits.
  • Tracks patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
  • Achieves at least budgeted rates expectation.
  • Has reviewed Cantex Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employee's responsibility to enforce it.
  • Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.
  • Responsible for assuring patient/resident safety.

Requirements:

  • A current, valid Texas nursing license is required (RN, LVN)
  • At least 2 years of LTC experience preferred.
  • Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
  • Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
  • Ability to effectively communicate, direct, and at times, delegate tasks.
  • Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to write reports, business correspondence, nursing/patient progress notes, and nursing procedures.
  • Ability to effectively present information and respond to questions from department heads, customers, (patients, family members, physicians, etc.) and the public.

Benefits:

  • We are an Equal opportunity employer.
  • We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans as well as a highly competitive compensation package.

  • RN MDS Coordinator

    1 week ago


    Flower Mound, Texas, United States Cantex Full time

    Job Summary:The primary objective of the MDS Coordinator RN position at Cantex is to ensure accurate and timely reimbursement for Medicare and Medicaid patients through the Patient Assessment Instrument (RAI) process.This role involves collaborating with the interdisciplinary team to manage quality patient care, adhering to federal and state standards, and...

  • MDS Coordinator RN

    1 week ago


    Flower Mound, Texas, United States Cantex Full time

    Job Summary:The primary objective of the MDS Coordinator RN position at Cantex is to ensure accurate and timely reimbursement for Medicare and Medicaid patients through the Patient Assessment Instrument (RAI) process.This role involves collaborating with the interdisciplinary team to manage quality patient care, adhering to federal and state standards, and...


  • Flower Mound, Texas, United States Cantex Full time

    Position Overview:The MDS Coordinator role is pivotal in ensuring the appropriate reimbursement for Medicare and Medicaid patients through the Resident Assessment Instrument (RAI) process. This position plays a crucial part in managing the quality of patient care in alignment with federal and state regulations, as directed by the Administrator or Director of...

  • Charge Nurse RN/LVN

    6 days ago


    Flower Mound, Texas, United States Cantex Full time

    Job SummaryCantex is seeking a highly skilled and dedicated Registered Nurse (RN) to join our team as a Charge Nurse. As a key member of our nursing staff, you will be responsible for overseeing the provision of patient care services and ensuring the highest level of quality and safety.ResponsibilitiesParticipate in and oversee the provision of patient care...

  • Charge Nurse RN/LVN

    3 days ago


    Flower Mound, Texas, United States Cantex Full time

    Job SummaryCantex is seeking a highly skilled and dedicated Registered Nurse (RN) to join our team as a Charge Nurse. As a key member of our nursing staff, you will be responsible for overseeing the provision of patient care services and ensuring the highest level of quality and safety.ResponsibilitiesParticipate in and oversee the provision of patient care...


  • Flower Mound, Texas, United States US Oncology, Inc Full time

    About the RoleUS Oncology, Inc is seeking a highly skilled and compassionate Oncology Registered Nurse to join our team. As an Oncology Registered Nurse, you will play a vital role in providing high-quality, patient-centered care to individuals undergoing infusion therapy.Key ResponsibilitiesPlan, implement, and coordinate patient care consistent with...


  • Flower Mound, Texas, United States US Oncology, Inc Full time

    About the RoleUS Oncology, Inc is seeking a highly skilled and compassionate Registered Nurse to join our team as an Infusion Registered Nurse. This is a full-time position that will support our Flower Mound location, working Monday through Friday, 8:30am to 5:00pm, with no weekends, call, or major holidays.Key ResponsibilitiesProvide professional nursing...


  • Flower Mound, TX, United States Cantex Full time

    MDS Coordinator RN- Hollymead Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location. Job Summary: The overall purpose of the MDS Coordinator position is to ensure appropriate...


  • Flower Mound, United States Cantex Continuing Care Network Full time

    Job DetailsJob Location Hollymead - Flower Mound, TX Position Type Full Time Travel Percentage Road Warrior Job Shift Day Job Category Marketing DescriptionDiversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more...


  • Flower Mound, United States Cantex Continuing Care Network Full time

    Job DetailsJob Location Hollymead - Flower Mound, TX Position Type Part Time Job Shift Weekends ONLY Job Category Health Care Description Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this...


  • Flower Mound, United States Cantex Continuing Care Network Full time

    Job DetailsJob Location Hollymead - Flower Mound, TX Job Shift Weekends ONLY Description Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location. Job Summary: The primary purpose of the...

  • Staffing Coordinator

    4 weeks ago


    Flower Mound, United States Cantex Continuing Care Network Full time

    Job DetailsJob Location Hollymead - Flower Mound, TX Position Type Full Time Job Shift Day Job Category Health Care Description Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location....


  • Flower Mound, United States Cantex Continuing Care Network Full time

    Job DetailsJob LocationHollymead - Flower Mound, TXPosition TypeFull TimeTravel PercentageRoad WarriorJob ShiftDayJob CategoryMarketingDescriptionDiversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.Please visit cantexcc.com for more information on...

  • Physical Therapist

    1 month ago


    Flower Mound, United States Cantex Continuing Care Network Full time

    Job DetailsJob Location Hollymead - Flower Mound, TX Description Full-Time Benefits: Competitive Wages 401k with match Medical, Dental, Vision & Supplemental Insurance Vacation, Sick, Personal Holiday & Paid Holidays Short-Term Disability Life Insurance Tuition & CEU Reimbursement Rewards & Recognition Program Essential Functions: Screens, evaluates, and...


  • Flower Mound, United States Medical City Dallas Full time

    Description IntroductionMedical City Dallas is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for RN Coordinator Fetal Surgery position and spend more time at the bedside with the patient.BenefitsMedical City Dallas, offers a total...


  • Flower Mound, United States Medical City Dallas Full time

    Description IntroductionDo you have the career opportunities as a Pediatric ICU Clinical Nurse Coordinator RN Supervisor you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Medical City Dallas which is a part of the...


  • Flower Mound, United States Medical City Dallas Full time

    Description IntroductionDo you have the career opportunities as a PCU Clinical Nurse Coordinator RN Supervisor you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Medical City Dallas which is a part of the nation’s leading...


  • Flower Mound, United States Medical City Dallas Full time

    Description IntroductionDo you have the career opportunities as a PCU Clinical Nurse Coordinator RN Supervisor you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Medical City Dallas which is a part of the nation’s leading...


  • Flower Mound, TX, United States Medical City Dallas Full time

    Do you have the career opportunities as a NICU Clinical Nurse Coordinator RN Supervisor you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Medical City Dallas which is a part of the nation’s leading provider of healthcare...


  • Flower Mound, TX, United States Medical City Dallas Full time

    Description Introduction Do you have the career opportunities as a NICU Clinical Nurse Coordinator RN Supervisor you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Medical City Dallas which is a part of the nation’s...


  • Flower Mound, TX, United States Medical City Dallas Full time

    Medical City Dallas is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Renal Transplant Med Surg Clinical Nurse Coord position and spend more time at the bedside with the patient. Medical City Dallas, offers a total rewards...

  • Registered Nurse

    4 weeks ago


    Flower Mound, United States Haven Home Health Full time

    Job DescriptionJob DescriptionDescription:We are looking for a reliable and compassionate Registered Nurse for home health to join our team.Coverage Areas: Flower Mound, Dallas, Garland and surrounding areaWhy Haven Home Health?Join our team at Haven Home Health be a part of a company that strives to provide the best care for our patients while building a...


  • Flower Mound, TX, United States Medical City Dallas Full time

    Description Introduction Medical City Dallas is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Renal Transplant Med Surg Clinical Nurse Coord position and spend more time at the bedside with the patient. Benefits Medical...

  • Registered Nurse

    2 weeks ago


    Flower Mound, United States ClearSky Rehabilitation Hospital of Flower Mound, LLC Full time

    Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.The following information provides an overview of the skills, qualities, and qualifications needed for this...

  • Registered Nurse

    2 weeks ago


    Flower Mound, United States ClearSky Rehabilitation Hospital of Flower Mound, LLC Full time

    Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.Are you a dedicated and compassionate clinician seeking a fulfilling career where you can make a real...

  • Infusion RN

    3 weeks ago


    Flower Mound, TX, United States US Oncology, Inc Full time

    Infusion RN Overview Texas Oncology is looking for a Full-time Infusion Registered Nurse (RN) to join our team! This position will support the Flower Mound location. This is a full-time Monday-Friday 8:30a-5p position with no weekends, call, or major holidays. This position can be a level 1, 2, or Sr based on candidate experience Texas Oncology is the...

  • Registered Nurse

    3 months ago


    Flower Mound, United States ClearSky Rehabilitation Hospital of Flower Mound, LLC Full time

    Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.Are you a dedicated and compassionate clinician seeking a fulfilling career where you can make a real...