MDS Coordinator

RegalCare at Greenfield; Greenfield (MA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Comprehensive benefits

Professional growth

Collaborative team

Job summary

RegalCare of Greenfield is seeking a Clinical Reimbursement Coordinator to join our team. You will oversee resident assessments and coordinate the MDS process to ensure compliant Medicare and state regulations, while supporting care planning and billing processes.

Qualified candidates are Massachusetts licensed RNs or LPNs with at least 1 year of MDS coordination experience, strong communication, organization, and assessment skills.

Qualifications

• Massachusetts license as RN or LPN required.
• Minimum 1 year 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 care plans in line with regulatory requirements.
• Initiate Medicare coverage for new residents and handle denials.
• Stay updated on Medicare changes affecting reimbursement.
• Coordinate MDS across PPS and OBRA processes.
• Educate and train nursing staff on MDS processes and documentation.
• Lead care conferences with the interdisciplinary team.
• Ensure current MDS/PPS updates are implemented and staff trained.
• Cross-train between PPS and OBRA.
• Conduct regular resident interviews as required by MDS.

Skills

MDS coordination

Regulatory knowledge

Medicare billing

Interdisciplinary teamwork

Education

Massachusetts RN or LPN license

Tools

MDS software

Medicare portals

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