Clinical Reimbursement Coordinator, RN

Genesis; Wayne (PA); On-site; USD 85,000 - 93,000; Full time

Benefits offered by this job

Tuition discounts

Employee Assistance Program

401K

Job summary

Genesis Healthcare is seeking an MDS Coordinator - RN to ensure timely, accurate MDS assessments and care plan reviews in our long‑term care setting. You will coordinate Medicare/Medicaid case-mix documentation to support appropriate reimbursement, collaborating with nursing, dietary, social services and physicians.

The ideal candidate is an RN with long-term care experience, with LPNs with MDS exposure considered. At least one year in long-term care nursing is required.

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.

Responsibilities

• Manage the MDS coordination process and timely completion of the MDS assessment tool.
• Review care plans and their delivery for physical, cognitive, and social factors to ensure high standards of care.
• Coordinate Medicare/Medicaid case-mix documents to assure appropriate reimbursement.
• Conduct concurrent MDS reviews to achieve maximum allowable RUG categories.
• Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to support accurate reimbursement.

Education

RN licensure

LPN with MDS experience considered

Long-term care nursing experience

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.

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 24/7 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 $85,000.00 - USD $93,000.00 /Yr.