Clinical Reimbursement / MDS Director

Mission Health Communities; Minneapolis (MN); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Short-term disability

Long-term disability

FSA

401(k) plan

Paid time off

CEU reimbursement

Daily pay options

Job summary

North Ridge Health and Rehab is seeking a full-time Clinical Reimbursement / MDS Director to lead the MDS team in Minnesota. The role focuses on coordinating the interdisciplinary assessment process, ensuring timely and accurate MDS submissions, and maintaining compliance with state and federal regulations.

Applicants should have RN licensure in Minnesota, CPR certification, and 2–3 years of MDS coordination experience, with strong knowledge of case mix and payor requirements.

Qualifications

• RN licensure in Minnesota.
• CPR certification.
• 2–3 years of MDS Coordinator/Clinical Reimbursement Coordinator experience.
• Strong knowledge of Minnesota case mix.
• Ability to coordinate interdisciplinary teams and ensure compliance.

Responsibilities

• Oversee day-to-day operations of the MDS department and provide leadership and coaching to the MDS team.
• Coordinate the interdisciplinary assessment process with nursing, therapy, dietary, social services and other departments.
• Ensure timely, accurate completion and submission of MDS assessments and related documentation.
• Handle intake of forms, notes, and lab results and document into the resident's electronic medical record.
• Maintain strong understanding of MDS rules, PPS, RAI, and Medicare regulations as applicable.

Skills

RN licensure

CPR certification

MDS coordination experience

case mix knowledge

interdisciplinary collaboration

HIPAA compliance

Education

RN licensure (MN Board of Nursing)

Job description

Clinical Reimbursement / MDS Director

North Ridge Health and RehabinNew Hope, MNis looking to hire a full-time Clinical Reimbursement / MDSDirectorto join our team, who will manage all of the MDS duties for our amazing health care company!

You'll be a valued member of our caring, dynamic team, with a full suite of benefits available to you. If this sounds interesting to you, please read on!

Mission Health is a family of communities, and we are proud to employ exceptional individuals who deliver a positive Mission experience to our residents and families, as well as our co-workers. Our CARES values of Character, Attitude, Respect, Excellence, and Service are at the core of everything we do, from billing to patient care!

This position earns a competitive salary. We also providecomprehensive benefits, including medical, dental, vision, short- and long-term disability, a flexible spending account (FSA), a 401(k) plan, paid time off (PTO), life insurance, continuing education unit (CEU) reimbursement, and daily pay options.

The is responsible foroverseeing day to day operations for department. providing leadership, education, coaching, and accountability to MDS team members. Coordinate the interdisciplinary assessment process and ensure appropriate collaboration among nursing, therapy, dietary, social services, and other departments.Ensuring the team is timely and accurate with completion of the Federal and State assessment tools but may also be called upon to perform duties of an RN, if needed. This position requires a strong understanding of the MDS rules and regulations as described in the MDS User's Manual, including item coding, RAI RAPS, CAA's, Care Planning, electronic submission, scheduling, PPS including knowledge of MDS submission process,final validation reports, and an understanding of Medicare rules and regulations including coverage, benefit periods, certification, 30 Day rule. you will intake all processed forms, including but not limited to, order sheets, doctor notes, pharmacy recommendations, order summaries and lab results and scanning them into electronic form to upload each document into the applicable resident's electronic medical record.

QUALIFICATIONS FOR Clinical Reimbursement / MDS Director

• Current RN licensure with the MN Board of Nursing
• Current CPR certification
• 2-3 years of experience as an MDS Coordinator / Clinical Reimbursement Coordinator
• V ast knowledge of Minnesota case mix
• The ability to manage multiple payor sources (Medicare, Managed care, etc.)
• Ensure timely, accurate, and compliant completion and submission of MDS assessments
• Good organization skills
• Experience with 3.0, PPS, and Case Mix
• Ability to pass license check, background check and drug screen
• Ability to maintain confidentiality and comply with all HIPPA regulations
• Desire to work with the elderly

Are you trustworthy and respectful of others? Is being dependable, professional, and a team player at the heart of all you do? Do you enjoy serving and caring for seniors? Can you easily establish a good rapport with others and communicate effectively? If yes, you might just be perfect for this dietary manager position!

ARE YOU READY TO JOIN OUR TEAM? If you feel that you are right for this job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!