Clinical Reimbursement Coordinator, RN

Genesis Healthcare; Camden (ME); On-site; USD 59,000 - 65,000; Full time

Benefits offered by this job

Pet Insurance

Term and Whole Life Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage

Variable compensation plans

Tuition, Travel, and Wireless Service

Job summary

Genesis HealthCare in Camden, ME is seeking an MDS Coordinator - RN to ensure timely and accurate MDS assessments and care plan reviews for residents. You will work with nursing, dietary, social services, and rehab teams to maintain high standards of care and accurate reimbursement.

The role requires an RN with MDS experience and at least one year in long-term care, offering opportunities for growth within a supportive, collaborative environment.

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN licensure.
• At least one year of long-term care nursing experience is required.

Responsibilities

• Manage the overall process and tracking of Medicare/Medicaid case-mix documents to ensure reimbursement for services.
• Conduct concurrent MDS reviews to maximize allowable RUG categories.
• Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services for appropriate reimbursement.

Skills

RN licensure

MDS experience

Long-term care

Education

Nursing degree

Job description

Overview

We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care.

• Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
• Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
• Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.

Qualifications

• Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.
• At least one year of long-term care nursing experience is required.

Benefits

We also offer several voluntary insurances such as:

• Pet Insurance
• Term and Whole Life Insurance
• Short-term Disability
• Hospital Indemnity
• Personal Accident
• Critical Illness
• Cancer Coverage

• Variable compensation plans
• Tuition, Travel, and Wireless Service Discounts
• Employee Assistance Program to support mental health
• Employee Foundation to financially assist through unforeseen hardships
• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
• Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
• On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $43.00 - USD $47.00 /Hr.

Genesis HealthCare, Inc. and all affiliated entities (collectively “Genesis”) has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Aff…