Float MDS Coordinator

St. Gabriel's Community; Bismarck (ND); On-site; USD 83,000 - 94,000; Full time

Benefits offered by this job

PTO

Retirement plan

Medical insurance

Dental insurance

Vision insurance

Education assistance

Job summary

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

In this role you will collaborate with Clinical, Rehabilitation, Wellness, Culinary and Social Services teams to ensure timely MDS completion and compliant documentation, while upholding the Benedictine Mission and Core Values.

Qualifications

• Graduation from an accredited school of professional nursing.
• Current applicable state RN license to practice nursing in good standing.
• BLS certification required.
• Experience in geriatric nursing.
• MDS/RAI experience within the last 2 years.
• Knowledge of multi-state and federal long-term care regs.
• Experience with MDS, Medicare, assessment and care-planning processes.

Responsibilities

• Participate in interdisciplinary Clinical Reimbursement meetings for care plan documentation.
• Prepare and schedule MDS, CAA analysis and care plans.
• Support other departments; monitor MDS timeliness and report issues.
• Participate in internal reimbursement audit processes.
• Perform other duties and projects as assigned.
• Promote Benedictine Mission and Core Values daily.

Skills

MDS/RAI coordination

Geriatric nursing

Regulatory knowledge

Interdisciplinary collaboration

Education

RN license (state)

Tools

MDS Monitor

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

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.