Clinical Reimbursement Coordinator, RN

Genesis Healthcare, Inc.; Reading (Berks County); On-site; USD 62,000 - 69,000; Full time

Benefits offered by this job

Variable pay

Discount programs

Employee assistance

Employee foundation

Health benefits

Life insurance

401K

Paid time off

Telehealth

Instant access pay

Voluntary insurances

Pet insurance

Disability insurance

Hospital indemnity

Critical illness

Cancer coverage

Job summary

Genesis HealthCare in Reading, PA is seeking an MDS Coordinator - RN to manage Medicare/Medicaid case-mix documentation, coordinate care plans and ensure reimbursement while upholding high standards of care in our nursing centers.

The role requires active RN licensure and at least one year of long-term care experience; LPN with MDS experience may be considered. We offer comprehensive benefits and opportunities for growth.

Qualifications

• RN licensure required.
• At least one year of long-term care nursing experience.

Responsibilities

• 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 experience

Education

RN licensure

LPN with MDS experience considered

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.
• #WR101

Posted Salary Range

USD $45.00 - USD $50.00 /Hr.