MDS Specialist
4 weeks ago
Colonial Pines Healthcare Center
San Augustine, TX
Colonial Pines Healthcare Center in San Augustine, TX is seeking dedicated Staff Nurses (RN) or (LVN) to enhance our team. We offer a fulfilling career in a facility that focuses on rehabilitative care. If you are a qualified (RN) or (LVN) looking for a new role, your search ends here.
As the MDS Specialist (RN) or (LVN), your primary responsibility will be overseeing Medicaid and Medicare reimbursement processes. You will manage the coordination and execution of clinical evaluations, necessary documentation, care planning, and the submission of MDS 3.0, in compliance with federal and state regulations. Your role will involve participating in and guiding the delivery of patient care in alignment with facility clinical systems, regulatory standards, and physician directives. You will ensure that the highest quality of services is provided in a friendly and customer-oriented environment.
Your contribution will be vital in fostering a positive patient experience through the delivery of compassionate and quality healthcare. Join us in our mission to provide exceptional clinical care, rehabilitation, wellness, and supportive services that align with the desires, needs, and expectations of our patients and residents.
At Colonial Pines Healthcare Center in San Augustine, TX, we provide competitive compensation packages, including health, dental, and vision insurance, company-paid life insurance, holiday pay, paid time off, employee appreciation events, and more.
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Company Paid Life Insurance
- 401k Retirement Savings
- Supplemental Voluntary Benefits
- Paid Time Off with Cash-Out and Donation Options
- Paid Holidays
- Pay on Demand - Payday Advance
- Gym Membership and Fitness Program Discounts
- Employee Discounts on Everyday Purchases and Services
- Access to Automobile and Home Insurance Marketplace
- and more
- Maintaining the MDS/Care plan schedule for the interdisciplinary team
- Coordinating the preparation of MDS and Care Plans in accordance with regulatory requirements
- Tracking Medicare resident benefit days, validating daily Medicare census, and coordinating this information with management to ensure accurate billing
- Completing responses to requests for additional information from intermediaries and appeals decisions, when necessary, within established time frames
- Ensuring the preparation of Medicare denial letters for each resident discharged from Medicare coverage within the time limits imposed by Medicare guidelines
- Participating in the ongoing evaluation of documentation required for Medicaid reimbursement
- Current RN or LVN license in the state of Texas
- 2+ years of experience in a skilled nursing facility with prior experience in completing MDS's and Care Plans as an MDS Coordinator
- Demonstrated proficiency in the RAI / PPS processes
- Strong attention to detail, documentation, and resident assessment skills
- Good communication, clerical, organizational, and computer skills
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