Clinical Reimbursement Coordinator, RN

Genesis Administrative Services LLC; Huntington (WV); On-site; USD 77,000 - 95,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition, Travel, and Wireless Service

Employee Assistance Program

Employee Foundation

Health, Dental, Vision, Company-paid 1

401K

Paid Time Off

Free 24/7 virtual health care

On-Demand Pay

Pet Insurance

Term and Whole Life Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage

Job summary

Genesis Healthcare is seeking a qualified MDS Coordinator - RN to ensure timely and accurate MDS assessments and review care plans for physical, cognitive and social factors in our nursing centers.

You will manage Medicare/Medicaid case-mix documentation, conduct concurrent reviews to maximize RUG categories, and coordinate data from nursing, dietary, social services, restorative, rehab, and physicians to support appropriate reimbursement.

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.
• Experience with MDS processes preferred.

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.

Skills

MDS coordination

RN license

Long-term care experience

Education

Registered Nurse licensure

Job description

Overview

At Genesis Healthcare, 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 24/7 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
• 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 $86,000.00 - USD $86,000.00 /Yr.