Clinical Reimbursement Coordinator, RN

Socket.dev; Follansbee (WV); On-site; USD 55,000 - 61,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition discounts

Employee Assistance Program

Employee Foundation

Health, Dental, Vision, Life, 401K, PT

Job summary

Socket.dev is seeking an MDS Coordinator - RN to ensure timely, accurate MDS assessments and reviews in a long-term care setting. You will coordinate care plans and support documentation to maximize appropriate reimbursement while maintaining high standards of care.

The role requires RN licensure with experience in long-term care nursing and familiarity with Medicare/Medicaid processes. Location is WV with on-site work and competitive benefits.

Qualifications

• RN licensure and completion of an accredited School of Nursing.
• Minimum of 1 year of long-term care nursing experience.

Responsibilities

• Complete MDS treatment assessment tool timely and accurately.
• Review care plans and ensure delivery aligned with patient needs and standards.
• Manage Medicare/Medicaid case-mix documents for reimbursement.
• Conduct concurrent MDS reviews to optimize RUG categories.

Skills

MDS knowledge

Long-term care nursing experience

RN licensure

Education

RN program graduate

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

• 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 24/7virtual health careprovided by licensed doctorsforall Anthemmedically-enrolled employees and theirimmediate family members

On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

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

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 $40.00 - USD $44.00 /Hr.