MDS Nurse F/T Position

3 weeks ago


Miami, Florida, United States Palmetto Subacute Care Center Full time
MDS Nurse Job Description

At Palmetto Subacute Care Center, we are seeking a highly skilled and experienced MDS Nurse to join our team. As a key member of our interdisciplinary team, the MDS Nurse will play a critical role in ensuring the accuracy and completeness of Minimum Data Set (MDS) assessments, which are essential for determining resident care needs and reimbursement.

Key Responsibilities:
  • Manage the MDS process, including tracking and maintaining all Medicare, Medicaid, and RUG-based documents to ensure accurate reimbursement.
  • Conduct concurrent MDS reviews to achieve maximum allowable RUG categories and ensure timely completion of assessments.
  • Coordinate all required MDS assessment schedules and disseminate information to all disciplines in accordance with state and federal regulations.
  • Assume responsibility for coordinating monthly billing for Medicare Part A and HMOs, as well as preparing and updating Medicare and HMO information for weekly utilization review.
  • Organize and coordinate daily PPS meetings with the Director of the Rehabilitation Department or representative from the Rehab Department.
  • Maintain the diagnosis code spreadsheet and submit it to the billing department every 3rd business day of the month.
  • Review weekly admission/payer change report and submit weekly MDS report.
  • Review billing documents as per the triple check process and maintain Physician Certifications as per CMS guidelines.
  • Provide Medicare Notice of Non-Coverage (NOMNC/ABN) to resident/family or designee as per CMS guidelines.
  • Participate in weekly walking rounds and submit MDSs to the State Data Base using Simple LTC.
Requirements:
  • Must hold a current Registered Nurse License in good standing within the state of employment.
  • Ability to work well with people and communicate verbally in a pleasant and effective manner.
  • Ability to follow oral and written instructions, set priorities, and respond to situations in a flexible manner.
  • Assist the nursing department in emergency situations as needed and participate in annual competency reviews.
Benefits:
  • Health, Dental, Vision, and PTO.
  • Competitive Salary.

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