Clinical Reimbursement Coordinator, RN

Genesis Administrative Services LLC; Parkersburg (WV); On-site; USD 85,000 - 87,000; 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

401K, Paid Time Off

On-Demand Pay Program

Pet Insurance

Term and Whole Life Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage

Job summary

Genesis Healthcare in Parkersburg, WV seeks an experienced MDS Coordinator (RN) to oversee the Medicare/Medicaid case-mix process and ensure accurate care-plan delivery.

You will review MDS assessments, coordinate with nursing, dietary, social services and physicians to optimize reimbursement while maintaining high-quality resident care standards. RN licensure and long-term care experience are required.

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 MDS process and Medicare/Medicaid case-mix documentation for accurate reimbursement.
• Conduct concurrent MDS reviews to maximize RUG category achievement.
• Coordinate information from nursing, dietary, social services, restorative, rehabilitation and physician services.

Skills

RN licensure

Long-term care experience

Education

RN degree/diploma

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 24/7virtual 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 $85,280.00 - USD $87,360.00 /Yr.