Clinical Reimbursement Coordinator, RN

Socket.dev; Shillington (Berks County); On-site; USD 81,000 - 110,000; Full time

Benefits offered by this job

Tuition Discounts

Employee Assistance

Health Insurance

Dental Insurance

Vision Insurance

401K

Paid Time Off

On-Demand Pay

Job summary

Socket.dev is seeking an experienced MDS Coordinator - RN to ensure timely completion of the MDS assessment and review care plans for residents in our long-term care setting.

The role requires active RN licensure and at least one year of long-term care experience; LPNs with MDS experience may be considered. You will collaborate with nursing, dietary, social services and physicians to optimize reimbursement and care quality.

Qualifications

• RN with current licensure required; MDS experience preferred.
• Minimum one year of long-term care nursing experience.

Responsibilities

• Manage the MDS assessment and review care plans for residents to ensure compliance with care standards.
• Oversee Medicare/Medicaid case-mix documentation for appropriate reimbursement.
• Conduct concurrent MDS reviews to maximize RUG categorization and reimbursement.

Skills

RN licensure

MDS experience

Long-term care

Education

RN licensure

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 $95,680.00 - USD $95,680.00 /Yr.