Clinical Reimbursement Coordinator, RN

Genesiscareers; Middletown (RI); Hybrid; USD 100,000 - 110,000; Full time

Benefits offered by this job

Health, Dental, Vision

Company-paid life insurance

401K

Paid Time Off

On-Demand Pay

Tuition assistance

Employee Assistance Program

Job summary

Genesiscareers in Middletown, RI is seeking a seasoned MDS Coordinator - RN to ensure timely and accurate MDS assessments and care plan oversight in a long-term care setting.

You will coordinate Medicare/Medicaid case-mix documentation, conduct concurrent MDS reviews, and integrate information from nursing, dietary, social services, restorative, rehabilitation, and physicians to optimize reimbursement and care quality.

Qualifications

• Must have RN licensure as a Registered Nurse.
• Minimum one year of long-term care nursing experience.

Responsibilities

• Manage Medicare/Medicaid case-mix documents for reimbursement.
• Perform concurrent MDS reviews to maximize RUG categories.
• Coordinate data from nursing, dietary, social services, restorative, rehab, and physicians.

Skills

RN licensure

MDS coordination

Long-term care experience

Education

Graduate of an accredited School of Nursing

Tools

MDS software

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 $100,000.00 - USD $110,000.00 /Yr.