MDS Coordinator RN

3 weeks ago


Livingston, United States Care One Enterprise Full time
Balance Life & Work with a New Career Opportunity

(SKILLED NURSING)

(ASSISTED LIVING)

Now Hiring - Clinical Reimbursement Coordinator - (Livingston, NJ)

(CareOne at Livingston)

The Clinical Reimbursement Coordinator assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist. The Clinical Reimbursement Coordinator is also responsible for regulatory compliance and quality improvement efforts in order to attain appropriate Medicare or Managed Care reimbursement. This position integrates information from all necessary disciplines to maintain accuracy and compliance with the MDS process. By conducting concurrent MDS reviews, he/she assures the achievement of maximum allowable RUG categories. Working collaboratively with facility team members, the CRC ensures that services offered meet or exceed federal, state and company standards and serves as a role model for ethical business practices according to health standards.

Essential Duties and Responsibilities

Maintain a professional standard of behavior when interacting with staff, residents family members or visitors
Follow and uphold the company Code of Conduct
Facilitate Daily PPS and Weekly Medicare meeting
Knowledge of and compliance with HIPAA guidelines
Knowledge of and ability to download reports from Point Right
Knowledge of and ability to download state and federal reports from Internet
Participate in Monthly Billing Reconciliation meeting
Complete MDS's per schedule as required for Medicare, Managed care and OBRA schedules
Initiate/Update Care plans as required
Ensure compliance with State, Federal, and Point Right transmissions and make modifications as needed
Facilitate and coordinate with other disciplines to maintain care plan development and ongoing updates per MDS schedule
Provide updates as required per Managed Care contract guidelines
Communicate promptly with facility team/regional consultant any issues or concerns
Completion and issuance of denial letters, coordination of Medicare certification completion, review of skilled nursing documentation (including CNA documentation) to support skilled needs
Serve as the center resource for MDS/PPS; and state Medicaid reimbursement.
Manage Medicare appeals process, and participate in Administrative Law Judge hearings as needed.
Implement and participate in the company processes developed to appropriately maximize reimbursement

Position Requirements:

Graduate of an approved RN program
Current RN license in the state and credentials as required
Prior experience in Medicare reimbursement and/or MDS experience preferred
Knowledge of Managed Care reimbursement systems
Word processing and computer skills
Excellent oral and written communication skills
Excellent ability to maintain an effective, friendly working relationship with others
Basic mathematic ability; ability to use calculator
Knowledge of quality improvement process, how it affects the 5 Star report, and ability to identify issues or trends and implement corrective action plans as needed
Knowledge of the 5 Star report
Excellent attention to detail; well organized
Ability to provide one-on-one or small group education related to identified areas of need
  • MDS Coordinator RN

    3 months ago


    Livingston, United States Care One Enterprise Full time

    Balance Life & Work with a New Career OpportunityHave you got what it takes to succeed The following information should be read carefully by all candidates.(SKILLED NURSING)(ASSISTED LIVING)Now Hiring - Clinical Reimbursement Coordinator - (Livingston, NJ)(CareOne at Livingston)The Clinical Reimbursement Coordinator assures the implementation of company...

  • MDS Coordinator RN

    3 weeks ago


    Livingston, United States Care One Enterprise Full time

    Balance Life & Work with a New Career OpportunityHave you got what it takes to succeed The following information should be read carefully by all candidates.(SKILLED NURSING)(ASSISTED LIVING)Now Hiring - Clinical Reimbursement Coordinator - (Livingston, NJ)(CareOne at Livingston)The Clinical Reimbursement Coordinator assures the implementation of company...


  • Livingston, California, United States DirectEmployers Full time

    Job Title: Transplant Coordinator - RNAt Cooperman Barnabas Medical Center, we are seeking a highly skilled and compassionate Transplant Coordinator - RN to join our Living Donor Institute team. As a key member of our transplant team, you will play a vital role in guiding patients through the complex journey of kidney transplantation.Key...


  • Livingston, California, United States RWJBarnabas Health Full time

    Job Title: Transplant CoordinatorAt RWJBarnabas Health, we are seeking a compassionate and organized Transplant Coordinator to join our team. As a key member of our transplant department, you will play a vital role in guiding patients through the complex journey of kidney transplantation.Responsibilities:Coordinates all aspects of the evaluation and listing...


  • Livingston, California, United States RWJBarnabas Health Full time

    Transform Lives as a Transplant CoordinatorAt RWJBarnabas Health, we're seeking a compassionate and organized Transplant Coordinator to join our team. As a bridge between patients, physicians, and transplant teams, you'll play a pivotal role in guiding patients through the complex journey of kidney transplantation.Key Responsibilities:Coordinate all aspects...


  • Livingston, New Jersey, United States RWJBarnabas Health Full time

    Job DescriptionAt RWJBarnabas Health, we are seeking a highly skilled Registered Nurse to join our Transplant Team as a Transplant Procurement Coordinator. This is a unique opportunity to work in a fast-paced environment, coordinating all aspects of the evaluation and listing process for deceased donor and living donor transplantation for Chronic Kidney...


  • Livingston, California, United States CareOne Full time

    Clinical Reimbursement Coordinator Job DescriptionThe Clinical Reimbursement Coordinator plays a vital role in ensuring the implementation of company policies and procedures related to Medicare and Managed care reimbursement in our facility. This position reports to the Administrator and receives consultative assistance from the Regional Clinical...


  • Livingston, United States DirectEmployers Full time

    Transplant Coordinator (RN), Livingston, NJ, Full-Time, DaysReq #:Category:NursingStatus:Full-TimeShift:DayFacility:Cooperman Barnabas Medical CenterDepartment:Living Donor InstituteLocation:Cooperman Barnabas Medical Ctr, 94 Old Short Hills Road, Livingston, NJ 07039Job Overview:Passionate about making a meaningful impact in healthcare? Join our team as a...


  • Livingston, United States RWJ Barnabas Full time

    Job Overview: The Transplant Procurement Coordinator is a registered nurse trained in the evaluation of deceased donor organs offers, waitlist review, patient selection, post-transplant patient management and donor-recipient matching. The ability to coordinate, plan, and follow-up organ offers, procurement schedules/organ perfusion/organ transport, and...


  • Livingston, United States Locum Jobs Online Full time

    LocumJobsOnline is working with Adelphi Medical Staffing to find a qualified Obstetrics and Gynecology MD in Livingston, Tennessee, 38570!About The PositionJob Quick Facts: • Specialty: Obstetrics & Gynecology• Job Type: Locum Tenens• Facility Location: Livingston, TN• Service Setting: Inpatient• Reason For Coverage: Supplemental• Coverage...

  • Nurse Coordinator

    1 month ago


    Livingston, California, United States Incredible Health Full time

    Job Title: Clinical Nurse CoordinatorIncredible Health is seeking a skilled Clinical Nurse Coordinator to join our team in the Livingston, NJ area.Job Summary:We are looking for a highly organized and effective Clinical Nurse Coordinator to coordinate patient care services, manage nursing staff schedules, and assist in the development and implementation of...


  • Livingston, United States Care One Enterprise Full time

    Great new Career Opportunity in Home Care!The following information provides an overview of the skills, qualities, and qualifications needed for this role.Now Hiring - Unit Manager/RN Supervisor - Livingston, NJHours: 40 Hours a WeekThe Unit Manager/RN Supervisor is responsible for, but not limited to:1. Patient service focus. Demonstrates and is accountable...


  • Livingston, United States Care One Enterprise Full time

    Great new Career Opportunity in Home Care!The following information provides an overview of the skills, qualities, and qualifications needed for this role.Now Hiring - Unit Manager/RN Supervisor - Livingston, NJHours: 40 Hours a WeekThe Unit Manager/RN Supervisor is responsible for, but not limited to:1. Patient service focus. Demonstrates and is accountable...


  • Livingston, United States Care One Enterprise Full time

    Great new Career Opportunity in Home Care!Now Hiring - Unit Manager/RN Supervisor - Livingston, NJHours: 40 Hours a WeekThe Unit Manager/RN Supervisor is responsible for, but not limited to:1. Patient service focus. Demonstrates and is accountable for patient satisfaction.2. Safety through the continuous improvement of standards of practice and by providing...


  • Livingston, United States Incredible Health Full time

    Hospitals on Incredible Health are actively hiring and accepting applications in the Livingston, NJ area for the following position: Clinical Nurse Coordinator. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Director, Manager, Supervisor, or VP. ...

  • Home Health Nurse

    4 weeks ago


    Livingston, California, United States Enhabit Full time

    Job SummaryAs a Registered Nurse (RN) Case Manager with Enhabit, you will play a vital role in providing high-quality home health care to patients. This position requires strong clinical skills, excellent communication, and a passion for delivering exceptional patient care.Responsibilities Perform home visits and coordinate client care Serve as the point of...

  • RN - Livingston, NJ

    3 weeks ago


    Livingston, New Jersey, United States RWJBarnabas Health Full time

    Job DescriptionWe are seeking a highly skilled Registered Nurse to join our team in the Neurology department at Barnabas Health Medical Group. As a key member of our patient care team, you will assist physicians in examination and treatment of patients, prepare patients and examination rooms, and maintain accurate medical records.ResponsibilitiesAdminister...


  • Livingston, United States DirectEmployers Full time

    Nurse Coordinator Registered Nurse (RN), Quality Resource ServicesReq #:Category:NursingStatus:Full-TimeShift:DayFacility:Cooperman Barnabas Medical CenterDepartment:Quality Resource ServicesLocation:Cooperman Barnabas Medical Ctr, 94 Old Short Hills Road, Livingston, NJ 07039Job Overview:Coordinate, implement and participate in the evaluation of the...


  • Livingston, New Jersey, United States Atlas Search Full time

    Primary Care Physician OpportunityWe are seeking a highly skilled Primary Care Physician to join our team at a community health center. As a Primary Care Physician, you will be responsible for providing high-quality patient care, including diagnosis, treatment, and coordination of care.Key Responsibilities:Work collaboratively with other healthcare...


  • Livingston, United States RWJ Barnabas Full time

    Job Summary: The position will cross cover the Pediatric Health Center and the OBGYN Clinic * Care of pediatric patients, infants to 18 years * Care of obstetrics and gynecological patients Organize and administers individualized age specific professional care to patients within an assigned unit of the hospital in support of medical care. Supports...