Clinical Reimbursement Coordinator, RN

Genesis; York (York County); On-site; USD 90,000 - 95,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition discounts

Employee Assistance Program

On-Demand Pay

Company-paid life insurance

401K

Paid Time Off

Free 24/7 virtual health care

Job summary

Genesis is seeking a skilled MDS Coordinator - RN to oversee timely MDS assessments and care-plan reviews, ensuring high-quality, compliant resident care in the nursing center.

The role requires an RN license with long-term care experience and MDS familiarity. You will coordinate cross-disciplinary data to support accurate reimbursements and optimal resident outcomes.

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN licensure.
• LPNs with MDS experience may be considered.

Responsibilities

• The MDS Coordinator - RN completes the MDS treatment assessment tool timely and accurately and reviews care plans for physical, cognitive, and social factors to ensure compliant care.
• Manage Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services in the nursing center.
• Conduct concurrent MDS reviews to achieve maximum allowable RUG categories.
• Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.

Skills

RN licensure

MDS experience

Long-term care

Education

Nursing degree

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.

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 24/7 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.

#YRN101

Posted Salary Range

USD $90,000.00 - USD $95,000.00 /Yr.

Bonus

USD $5,000.00