Float MDS Coordinator

careers-bhshealth; Bismarck (ND); On-site; USD 83,000 - 94,000; Full time

Job summary

Benedictine Living in North Dakota is seeking an RN-Clinical Reimbursement Coordinator Float to manage MDS/RAI care plan implementation, auditing, and coordination of clinical payment programs.

Responsibilities include coordinating MDS/CQA analysis, scheduling, and participating in internal reimbursement audits, while promoting the Benedictine Mission and Core Values. Must have RN license, BLS, and MDS/RAI experience.

Qualifications

• RN license in good standing required.
• BLS certified required.
• Experience in geriatric nursing and MDS/RAI processes.

Responsibilities

• Participate in interdisciplinary Clinical Reimbursement meetings for care plan info and insurer documentation.
• Prepare/assist MDS, CAA analysis, and care plan scheduling.
• Support MDS Monitor timeliness with other departments.
• Engage in internal reimbursement audit processes as assigned.
• Promote Benedictine Mission and Core Values in daily duties.

Skills

BLS Certification

Geriatric nursing

MDS/RAI experience

Regulatory knowledge

Education

Graduation from an accredited school of professional nursing

RN license in good standing

Job description

Overview

The SC RN-Clinical Reimbursement Coordinator Float is responsible for assigned resident’s MDS/RAI care plan implementation, completion, transmission, and auditing through the Triple Check process. The RN-Clinical Reimbursement Coordinator Float is responsible for coordination of clinical payment programs including the Quality Reporting Program, the Value Based Purchasing program and when applicable, community participation in incentive payment program initiatives. Responsible for case mix review in determining reimbursement case mix levels. Effectively interacts with residents, family members and other health team members, while maintaining standards of professional nursing to assure resident safety. Provides MDS scheduling back up to the Clinical Reimbursement Manager, when applicable.

Responsibilities

• Participate in interdisciplinary Clinical Reimbursement meetings as delegated to gather information necessary for the development of the care plan and to ensure the insurer requirements for documentation are met.
• Prepare or assist in the preparation, implementation and scheduling of each resident’s MDS, CAA analysis and care plan.
• Assist the Rehabilitation Services, Wellness, Culinary and Social Services departments with the MDS Monitor timeliness of MDS completion and reports any outstanding departments or issues.
• Participate in internal reimbursement audit processes as assigned.
• Performs other duties, tasks and/or projects as as assigned.
• Promotes the Benedictine Mission and Core Values of Hospitality, Stewardship, Respect and Justice by bringing the Mission and Core Values into the day-to-day activities of the company.

QUALIFICATIONS REQUIRED

• Graduation from an accredited school of professional nursing
• Current applicable state RN license to practice nursing, which must be in good standing
• BLS Certified
• Experience in geriatric nursing
• MDS/RAI experience in the past 2 years
• Working knowledge of multi-state state and federal regulations governing long-term care facilities
• Experience in working with the MDS, Medicare, assessment, and care-planning processes

QUALIFICATIONS PREFERRED

• AANAC Certification RAC-CT
• CPR Certified

EEO/AA/Vet Friendly

Salary Range

83,200-93,600

Benefits Statement

A robustbenefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntarybenefits. For more information visit our website atwww.benedictineliving.org.