MDS LPN

Garden Gate Health Care Facility; Buffalo (NY); On-site; USD 67,000 - 69,000; Full time

Benefits offered by this job

PTO

Weekly or Same-Day Pay

Health, Dental, and Vision Insurance

Life Insurance

Employee Referral Bonus

Retirement Savings Options

Job summary

Garden Gate Health Care Facility in Cheektowaga, NY, seeks an MDS LPN to support Medicare, PDPM, and long-term care reimbursement while ensuring accurate MDS completion and regulatory compliance.

This salaried role covers a full-time daytime schedule with a competitive annual salary range of $66,560 to $68,640, plus benefits. The position is part of The McGuire Group network, focused on compassionate, resident-centered care.

Qualifications

• Graduate of an LPN Vocational Program; Bachelor's Degree in Nursing preferred.
• Minimum 2 years of long-term care experience; 4 years preferred.
• Current unrestricted NYS LPN license.
• Experience with MDS, PDPM, reimbursement, and quality measures.
• Strong understanding of Medicare, Medicaid, Managed Care, and third-party payer requirements.
• Excellent time management, organizational, and problem-solving skills.
• Strong communication and interpersonal abilities.
• Ability to manage multiple priorities and meet deadlines.
• Knowledge of long-term care regulations, reimbursement methodologies, and standards of care.
• Ability to educate and support interdisciplinary teams.

Responsibilities

• Educate facility staff on Medicare, Medicaid, PDPM, and reimbursement.
• Assist with certification procedures and reimbursements.
• Collaborate with claims review units and third-party payers.
• Review denied claims and audits.
• Monitor reimbursement compliance.
• Analyze reimbursement data and utilization trends.
• Review authorizations and third-party requirements.
• Provide ongoing reimbursement training.
• Complete PDPM reviews on admission and readmission.
• Review MDS assessments for accuracy and compliance.
• Gather documentation for CMS audits.
• Review physician documentation and ICD-10 coding.
• Conduct MDS integrity reviews.
• Perform additional duties as assigned.

Skills

MDS Knowledge

PDPM

Long-term Care

Regulatory Compliance

Reimbursement

Education

LPN Vocational Program

Bachelor's Degree in Nursing

Job description

Pay or shift range: $66,560 USD to $68,640 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, shift, benefit selection or other job-related reasons.

Description

MDS LPN
Salaried: $66,560 - $68,640 annually (depending on experience)
Equivalent Hourly: $32 - $33/hour
Shift: Full-Time
Schedule: Days

Garden Gate Health Care Facility is looking to add an MDS LPN to its team. In this role, you’ll support Medicare, Managed Care, and Medicaid reimbursement processes while helping ensure accurate MDS completion, regulatory compliance, and reimbursement optimization. If you have experience with MDS, PDPM, and long-term care reimbursement, this could be the perfect opportunity for you.

Located in Cheektowaga, NY, Garden Gate Health Care Facility is proud to be part of The McGuire Group, a recognized leader in skilled nursing, rehabilitation, and long-term care services throughout New York State. Our team is dedicated to creating a welcoming environment where residents, families, and employees feel valued and supported. With a strong focus on compassion, teamwork, and resident-centered care, Garden Gate offers a rewarding opportunity to grow your career while making a meaningful difference in the lives of others every day.

RESPONSIBILITIES

• Provide education and support to facility staff regarding Medicare, Medicaid, Managed Care, eligibility, certification, coverage, documentation, utilization, and reimbursement
• Assist facilities with certification procedures, reimbursement-related processes, and resolution of problem areas
• Collaborate with claims review units, compliance teams, and third-party payers to ensure regulatory and company compliance
• Assist with the review and preparation of denied claims, audits, and administrative record reviews
• Monitor reimbursement compliance and establish systems to address areas of non-compliance
• Maintain and analyze reimbursement-related statistical data and utilization trends
• Monitor authorizations and compliance with third-party payer requirements
• Provide ongoing education and training related to reimbursement programs and regulatory changes
• Complete PDPM reviews upon admission, re-admission, or as indicated
• Review Medicare Part A MDS assessments for accuracy and compliance
• Gather documentation for CMS audits and other reimbursement-related audits
• Review physician documentation and assist with accurate ICD-10 coding and diagnosis ranking
• Conduct MDS integrity reviews and complete MDS assessments as needed
• Perform additional duties as assigned

REQUIREMENTS

• Minimum education requirement: Graduate of an LPN Vocational Program; Bachelor's Degree in Nursing preferred
• Minimum experience requirement: 2 years of long-term care experience; 4 years of long-term care experience preferred
• Current unrestricted NYS Licensed Practical Nurse (LPN) License required
• Experience with MDS, PDPM, reimbursement, and quality measures
• Strong understanding of Medicare, Medicaid, Managed Care, and third-party payer requirements
• Excellent time management, organizational, and problem-solving skills
• Strong communication and interpersonal abilities
• Ability to manage multiple priorities and meet deadlines
• Knowledge of long-term care regulations, reimbursement methodologies, and standards of care
• Ability to provide education, training, and support to interdisciplinary teams

BENEFITS

• Paid Time Off (PTO) for Full-Time and Part-Time
• Weekly or Same-Day Pay Options
• Health, Dental, and Vision Insurance
• Life Insurance
• Employee Referral Bonus Program
• Retirement Saving Options

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.