MDS Coordinator

Regalcare; Sharon (MA); On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Sign-on bonus

Comprehensive benefits package

Job summary

Foremost at Sharon, a care facility in Massachusetts, is seeking a Clinical Reimbursement Coordinator. The role requires an active MA RN or LPN license and at least 1 year as an MDS Coordinator, with strong communication and organizational abilities.

Responsibilities include coordinating assessments, care plans, and MDS processes, while ensuring regulatory compliance and accurate Medicare considerations. This position offers a pathway for professional growth and a comprehensive benefits package.

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 completion of resident assessments per Federal and State regulations.
• Establish assessment schedules and ensure timely, accurate assessments.
• Transmit assessments to the State health department as required.
• Coordinate resident care plans per regulatory requirements and ensure effective delivery.
• Initiate Medicare coverage for new residents and issue denial letters when needed.
• Stay updated on Medicare coverage changes and document required resources for reimbursement.
• Coordinate MDS processes including assessment, planning, implementation and evaluation.
• Facilitate care conferences with the interdisciplinary team.
• Educate staff on MDS processes and PPS/OBRA requirements.

Skills

Communication skills

Organizational skills

Assessment skills

Education

Massachusetts RN or LPN license

Job description

Foremost at Sharon

$5000.00 Sign On Bonus!!

At Foremost at Sharon 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

Supportive, collaborative team environment

Opportunities for professional growth

Comprehensive benefits package