Job Description
Job Description
MDS RN
Location : Taconic Rehabilitation and Nursing at Hopewell
SHIFT : Full-Time
Rate : $98,000-$100,000 annual salary (depending on experience)
JOB SUMMARY :
The MDS RN coordinates Medicare, Managed Care and Medicaid activities at the facility. Educates Administrator
and facility staff on innovative procedures to maximize utilization and reimbursement through the completion of
the MDS, care plan and care guide process. Supervises LPN MDS work and cosigns any MDS completed by an
LPN.
RESPONSIBILITIES :
certification, coverage, documentation, utilization and reimbursement. Assists facilities with initial
certification procedures and follow-up of problem areas.
facility in complying with company procedures and federal, state and local regulations. Reports regularly
to administration on issues and activities. Interacts with the Medicare and managed Care intermediares
in areas of coverage and documentation. Assists in review and preparation of denied claims or
administrative record reviews by outside intermediaries.
company procedures. Establishes systems and programs designed to correct any non-compliance
situation. Participates with any outside reimbursement audits to acquire first-hand knowledge of areas
that might lead to system failures.
Medicaid programs by region. Cooperates with operations to monitor activities for contractor programs,
i.e. therapies, utilization review. Reviews and maintains Medicare, Managed Care and Medicaid
reference materials.
reimbursement. Monitors compliance with third party policies and procedures for authorizations for
payment and provision of services.
Care and Medicaid and other contracted third party payers. Provides education regarding changes in any
reimbursement program.
admissions and re-admissions
REQUIRED SKILLS & ABILITIES :
MDS assessment
improvement
QUALIFICATIONS :
Education : Minimum : Associates degree in Nursing
Preferred : Bachelor’s degree in Nursing
Experience : Minimum : 2 years of Long-Term Care Experience
Preferred : 4 years of long-term care experience
Licensure : NYS Licensed Registered Nurse (RN) current, unrestricted licensure
Certification : RAC-CT certification preferred
Benefits :
Apply today to be part of a team committed to delivering excellent care while supporting operational excellence in a friendly and collaborative environment
Mds Rn • Beacon, NY, US