MDS Coordinator

RegalCare at Greenfield

Greenfield (MA)

On-site

USD 70,000 - 100,000

Full time

3 days ago
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Benefits offered by this job

Comprehensive benefits package
Professional growth opportunities
Collaborative team environment

Job summary

RegalCare at Greenfield is seeking a Clinical Reimbursement Coordinator to oversee resident assessments and coordinate MDS processes in a compliant, timely manner.

The role requires Massachusetts licensure as an RN or LPN and at least 1 year of MDS experience. You will work in a team-oriented environment with a focus on reimbursement and regulatory adherence.

Qualifications

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

Responsibilities

  • Oversee and facilitate resident assessments per Federal and State regulations.
  • Establish assessment schedules and ensure timely, accurate assessments.
  • Transmit assessments to the State of Connecticut, Department of Health.
  • Coordinate resident care plans per regulatory requirements.
  • Initiate Medicare coverage for new residents and send denial letters when needed.
  • Stay updated on Medicare coverage changes and documents needed for reimbursement.
  • Coordinate the MDS process and care conferences with the interdisciplinary team.
  • Complete and review Minimum Data Sets (MDS).
  • Educate and train nursing staff on assessments, planning, and MDS processes.
  • Ensure current MDS/PPS updates are implemented and staff are in-serviced.
  • Cross-train between PPS and OBRA.

Skills

Communication skills
Organizational skills
Assessment skills
MDS process knowledge

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
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