MDS Coordinator

RegalCare at Greenfield; Greenfield (MA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits package

Collaborative team environment

Opportunities for professional growth

Job summary

RegalCare at Greenfield is seeking a Clinical Reimbursement Coordinator to oversee resident assessments, ensure regulatory compliance, and support accurate reimbursement processes. You will coordinate MDS timelines and ensure timely, accurate documentation.

You will initiate Medicare coverage for new residents, educate staff on PPS/OBRA requirements, and collaborate with the interdisciplinary team to optimize care plans and documentation across regulatory standards.

Qualifications

• Must be a licensed Massachusetts RN or LPN.
• Minimum 1 year of experience as a MDS Coordinator.
• Strong communication, organizational, and assessment skills.

Responsibilities

• Oversee and facilitate the completion of resident assessments in accordance with Federal and State regulations.
• Establish assessment schedules and ensure assessments are done accurately and timely.
• Transmit assessments to the State of Connecticut, Department of Health.
• Coordinate resident care plans in accordance with regulatory requirements, ensuring effective delivery.
• Initiate Medicare coverage for newly qualified residents and send denial letters when necessary.
• Stay updated on changes in Medicare coverage and help determine documents necessary for reimbursement.
• Coordinate MDS process across assessment planning, implementation and evaluation.
• Facilitate care conferences with the interdisciplinary team.
• Complete and review Minimum Data Sets (MDS).
• Educate, train and assist nursing staff and other departments on MDS and PPS processes.
• Ensure current MDS/PPS updates are implemented and staff are in-serviced.
• Cross train between PPS and OBRA.
• Conduct regular resident interviews as required by the MDS.

Skills

Communication skills

Organizational skills

Assessment skills

Regulatory knowledge (MDS/PPS)

Education

Massachusetts RN or LPN license

Job description

Join the RegalCare of Greenfield Team!

At RegalCare of Greenfield, we are dedicated to providing exceptional care to our residents while supporting our staff with a positive, team-focused work environment. We are currently seeking a Clinical Reimbursement Coordinator professional to join our team.

Responsibilities

• Oversee and facilitate the completion of resident assessments in accordance with Federal and State regulations
• Establish assessment schedules and ensure that assessments are done in an accurate and timely manner
• Transmitting assessments to the State of Connecticut, Department of Health
• Coordinate resident care plans in accordance to regulatory requirements, ensuring that resident care is delivered effectively
• Initiate Medicare coverage for newly qualified residents and sending denial letters when necessary
• Remain updated on changes in Medicare coverage and help determine documents necessary for reimbursement.
• Coordinates the assessment, planning, implementation and evaluation of resident care by following the MDS process.
• Coordinates and facilitates care conferences with the interdisciplinary team.
• Coordinates, completes and reviews Minimum Data Sets (MDS)
• Educates, trains and assists nursing staff and other departments regarding the roles of assessments, planning, implementation and MDS process; and completion of applicable sections of MDS.
• Responsible for ensuring all current MDS/PPS updates are implemented and staff is in-serviced.
• Will cross train between PPS and OBRA.
• Conducts regular resident interviews as required by the MDS

Requirements

• Must be a licensed Massachusetts RN or LPN
• Minimum 1 Year Of Experience As a MDS Coordinator
• Strong communication, organizational, and assessment skills

Why RegalCare of Greenfield?

• Supportive, collaborative team environment
• Opportunities for professional growth
• Comprehensive benefits package