Director of Clinical Excellence and Reimbursement

4 days ago


Milford, Connecticut, United States Milford Health & Rehabilitation Center Full time

Overview

Milford Health & Rehabilitation Center, a proud affiliate of National Health Care Associates, is seeking an experienced MDS Director to join our team. As a Certified Great Place to Work, we prioritize providing exceptional resident care through accurate and detailed assessments.

Salary and Benefits

We offer a competitive compensation package, including a $1500 sign-on bonus, as well as a 10% defined contribution retirement plan. Additionally, you will receive comprehensive training and mentorship opportunities, supporting your professional growth and development.

Job Description

As a key member of our interdisciplinary team, the MDS Director will be responsible for managing the Minimum Data Set (MDS) assessments necessary for developing personalized resident care plans and ensuring compliance with state and federal regulations. This role requires a deadline-driven individual with strong organizational skills, analytical capabilities, and excellent written and verbal communication abilities.

Responsibilities

  • Lead and oversee the MDS program, ensuring accuracy in assessments and maintaining revenue integrity
  • Determine Patient Driven Payment Method (PDPM) and expenses associated with potential admissions
  • Monitor Case Mix Index (CMI) scores, identifying potential risks and changes that may affect reimbursement
  • Train, mentor, and manage MDS Coordinators, providing guidance and support
  • Coordinate comprehensive resident assessments and care planning
  • Collaborate with interdisciplinary teams to ensure accurate data collection for assessments

Requirements

To succeed in this role, you will require:

  • A valid state RN license, preferably with an advanced degree or certification
  • Direct care experience in a long-term care setting and/or MDS Coordinator experience
  • Proficiency in state and federal regulations governing the MDS and billing process
  • Knowledge and understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid, and Medicare requirements

What We Offer

  • A supportive and collaborative work environment
  • The opportunity to make a meaningful difference in the lives of our residents
  • Professional growth and development opportunities

About Us

National Health Care Associates is a family-run organization since 1984, prioritizing Kindness, Service, Compassion, and Excellence. Our centers provide life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. We are committed to creating a culture of continuous improvement and innovation in nursing care.



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