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MDS RN

MDS RN

VS Servicer at Fishkill LLCBeacon, NY, US
30+ days ago
Job type
  • Full-time
Job description

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 :

  • Provides education and assistance to facilities on Medicare / Medicaid related areas including eligibility,

certification, coverage, documentation, utilization and reimbursement. Assists facilities with initial

certification procedures and follow-up of problem areas.

  • Interacts with Medicare, Managed Care and Medicaid claims review unit and compliance unit to assist a
  • 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.

  • Completes and assesses compliance with Medicare, Managed Care, Medicaid and third party payers and
  • 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.

  • Establishes and maintains current statistical data associated with the Medicare, Managed Care and
  • 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.

  • Monitors and identifies utilization issues. Establishes systems and programs to maximize utilization and
  • reimbursement. Monitors compliance with third party policies and procedures for authorizations for

    payment and provision of services.

  • Provides ongoing orientation and training to appropriate facility staff regarding the Medicare, Managed
  • Care and Medicaid and other contracted third party payers. Provides education regarding changes in any

    reimbursement program.

  • PDPM reviews upon admission or re-admission or as indicated
  • Review of MDS completion for Medicare A MDS’ for compliance and accuracy
  • Gathers documentation for CMS audit requests and other audits as indicated
  • Reviews physician documentation for accurate ICD 10 coding, assisting to set and rank diagnosis for new
  • admissions and re-admissions

  • MDS Integrity reviews as indicated.
  • MDS completion as needed
  • Other duties as assigned
  • REQUIRED SKILLS & ABILITIES :

  • Demonstrates experience in reimbursement, PDPM and quality measures as associated with the
  • MDS assessment

  • Demonstrates excellent time management and organization skills
  • Proven ability to lead and inspire teams, fostering a culture of excellence and continuous
  • improvement

  • Excellent communication, interpersonal and problem-solving skills
  • Ability to effectively manage multiple priorities and meet deadlines
  • In-depth knowledge of regulatory requirements and standards of care in long-term care settings.
  • 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 :

  • Paid Time Off (PTO)
  • Health, Vision, and Dental Insurance
  • Life Insurance
  • Referral Bonus Program
  • Tuition Support
  • Weekly or Same Day Pay Options
  • Supportive Work Environment
  • Apply today to be part of a team committed to delivering excellent care while supporting operational excellence in a friendly and collaborative environment

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    Mds Rn • Beacon, NY, US