MDS Nurse

Living Legends; Nashville (NY); Presencial; USD 67 000 - 75 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Paid Time Off (PTO)

Health, Dental, Vision Insurance

Life Insurance

Employee Referral Bonus Program

Retirement Savings Options

Weekly or Same-Day Pay

Resumo da oferta

Northgate Health Care Facility in North Tonawanda, NY seeks an MDS Nurse (RN or LPN) to ensure accurate MDS completion, regulatory compliance, and reimbursement optimization. The role supports Medicare, Medicaid, and PDPM processes within a skilled nursing setting.

Full-time, salaried position with a Monday–Friday schedule. $66,560–$74,880 annually depending on license and experience; equivalent hourly: $32–$36. Experience in long-term care and strong regulatory knowledge are essential.

Qualificações

• 2 years minimum in long-term care
• Current NY LPN or RN license required
• Experience with MDS, PDPM, reimbursement and quality measures
• Strong understanding of Medicare/Medicaid and third-party payer requirements
• Excellent time management, organizational, and problem-solving skills
• Ability to educate and train interdisciplinary teams

Responsabilidades

• Provide education and support to facility staff on Medicare, Medicaid, Managed Care and reimbursement workflows
• Assist with certification procedures and take part in reimbursement-related processes
• Collaborate with claims review units, compliance teams, and third-party payers for regulatory alignment
• Review denied claims, audits and administrative records for accuracy
• Monitor reimbursement compliance and trends; implement corrective systems
• Maintain reimbursement-related data and utilization analyses
• Conduct PDPM reviews upon admission and re-admission as required
• Review MDS assessments for accuracy and compliance
• Gather documentation for CMS audits and related reviews

Conhecimentos

Long-term care experience

MDS knowledge

PDPM knowledge

Regulatory compliance

Communication skills

Formação académica

NY LPN license

RN license

Descrição da oferta de emprego

Northgate Health Care Facility
7264 NASH ROAD
TONAWANDA, NY 14120, USA

• Pay or shift range: $66,560 USD to $74,880 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 Nurse (RN or LPN)
Salaried: $66,560 - $74,880 annually (depending on license or experience)
Equivalent Hourly: $32 - $36
Shift: Full-Time
Schedule: Monday- Friday, Flexible schedule

Northgate Health Care Facility is looking to add an MDS Nurseto 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 North Tonawanda, NY, Northgate 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. Recognized with a CMS 4-Star Overall Rating, Northgate is committed to delivering high-quality care while fostering a supportive and team-oriented workplace. Our employees are empowered to grow professionally, build meaningful relationships with residents, and make a positive impact every day. Join a team where compassion, collaboration, and excellence are at the heart of what we do.

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 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 OR Registered Nurse (RN) 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.