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MDS Coordinator

2 months ago

White River Junction, Vermont, United States Windsor Health & Rehabilitation Center LLC Full time
MDS Coordinator or Clinical Reimbursement Coordinator Job Description

We are seeking a highly skilled MDS Coordinator or Clinical Reimbursement Coordinator to join our team at Windsor Health & Rehabilitation Center LLC.

Key Responsibilities:
  • Determine potential Patient Driven Payment Method (PDPM) and associated expenses for prospective residents.
  • Participate in the admission process to assess nursing needs and reimbursement levels.
  • Complete and ensure accuracy of the MDS process for all residents.
  • Maintain current knowledge of Medicare criteria and communicate changes to nursing staff.
  • Monitor Case Mix Index (CMI) scores and identify potential risks to Medicaid reimbursement.
  • Ensure timely submission of Medicare assessments and nursing documentation.
  • Assist physicians in providing ongoing patient care.
  • Communicate patient health status and changes to medical personnel.
  • Provide preventive health care suggestions to patients and the interdisciplinary team.
Requirements:
  • Previous experience as a MDS coordinator.
  • RAC Certification is a plus.
  • Knowledge of Resource Utilization Groups (RUGs), PDPM, and Case Mix index.
  • Current and valid state Registered Nurse license.
  • Excellent written and verbal communication skills.
  • Ability to thrive in a fast-paced environment.