Clinical Reimbursement Coordinator, RN

Genesis; Sinking Spring (Berks County); On-site; USD 45,460 - 64,747; Full time

Benefits offered by this job

Variable compensation plans

Tuition and wireless service discounts

Employee Assistance Program

Health, Dental, Vision insurance

Paid Time Off

24/7 virtual health care access

On-Demand Pay Program

Job summary

A leading provider in long-term care is seeking a dedicated RN to manage MDS assessments and ensure compliance with care standards. The candidate must be a graduate of an accredited nursing program and hold a current RN license, along with a minimum of one year of nursing experience in long-term care. This role offers a competitive salary of $40.00 per hour and various benefits, including health insurance, tuition discounts, and a robust employee assistance program.

Qualifications

• Graduate of an accredited nursing program with active RN license.
• Minimum one year of experience in long-term care nursing.
• Current BLS/CPR certification needed.

Responsibilities

• Maintain accurate MDS assessment schedules.
• Perform concurrent MDS reviews for appropriate RUGs categories.
• Communicate necessary case-mix data to the business office.
• Educate staff on MDS terminology and formats.

Skills

Long-term care experience

Medicare/Medicaid knowledge

MDS completion

Clinical resource utilization

Education

Accredited nursing degree

Current RN 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

• Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.
• Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.
• Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state case-mix scores, etc.
• Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required.
• One year of long term care clinical nursing experience is required.
• Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
• Must maintain current BLS/CPR certification (excluding ALFs/ILFs).

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 $40.00 - USD $40.00 /Hr.