Job Description
Job Description
MDS RN (REGISTERED NURSE)
SHIFT : Day Shift, Weekdays
RATE : $34-$36
Coordinates and monitors the facility's Medicare, Managed Care, and Medicaid revenue. Ensures residents receive optimal skilled services to meet needs for optimal independent function and potential discharge to the community. Monitors facility Quality Measures, identifies issues related to Quality Measures, and assists facility with any corrective actions needed to improve overall quality services. Educates facility staff on innovative procedures to optimize utilization and reimbursement through completing the MDS, care plan, and care guide process.
RESPONSIBILITIES :
- Provides education and assistance to facilities in Medicare / Medicaid-related areas, including eligibility, certification, coverage, documentation, utilization, and reimbursement.
- Interacts with Medicare, Managed Care, and Medicaid claims review unit and compliance unit to assist facilities in complying with company procedures and federal, state, and local regulations.
- Reports regularly to MDS Coordinator and administration on issues and activities.
- Completes and assesses compliance with Medicare, Managed Care, Medicaid, third-party payers, and company procedures.
- Gathers data to acquire accurate and timely completion of MDS 3.0 related to Medicare, Managed Care, and Medicaid.
- All other duties as assigned.
REQUIREMENTS :
Registered Nurse in the State of New YorkBachelor's degree preferred but not requiredPrefer experience in Medicare / Medicaid areas in long-term care or clinical trainingMust have excellent communication skills in both individual and group settingsCapable of maintaining regular attendanceCapable of performing all of the essential job functions of this position, with or without reasonable accommodationsBasic to advanced computer knowledge, preferably with MDS 3.0, PCC e-MAR, and CMI reimbursement processesBENEFITS :
Paid Time Off (PTO)Health, Vision, and Dental InsuranceLife InsuranceReferral Bonus ProgramTuition SupportWeekly or Same Day Pay OptionsSupportive Work EnvironmentApply today and become a key part of our team in maintaining a comfortable, safe environment for residents and staff alike!