MDS Nurse (Licensed Practical Nurse/LPN) Medicaid Reimbursement

Life Care Centers of America; Wilbraham (MA); On-site; USD 65,000 - 90,000; Full time

Job summary

Life Care Centers of America is seeking an LPN MDS Nurse/Medicaid Reimbursement Coordinator to complete and submit MDS Assessments, CCAs, and Care Plans in line with CMS RAI and Life Care standards. The role requires an active LPN/LVN license, at least two years of nursing experience (geriatric preferred), and CPR certification.

The position emphasizes accuracy in documentation, collaboration with an interdisciplinary team, and ongoing compliance with regulations to support resident care and

Qualifications

• Active LPN/LVN license in good standing in the applicable state (Massachusetts).
• Minimum of 2 years nursing experience; geriatric experience preferred.
• CPR certification at hire or within orientation and maintain current.

Responsibilities

• Complete and submit accurate MDS Assessments, CCAs, and Care Plans per CMS RAI Manual.
• Report changes in patient condition identified by MDS to the DON.
• Educate direct care staff on CMS RAI updates affecting documentation.
• Review Interdisciplinary Care Plan and CMS Reports; ensure timely billing readiness.

Skills

MDS knowledge

CMS RAI familiarity

Documentation accuracy

Interdisciplinary teamwork

Education

LPN/LVN license

Job description

Live the Mission

LPN or RN Medicaid Reimbursement Coordinator

Position Summary

The LPN MDS Nurse is responsible to complete and submit accurate and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, And Licensure Requirements

• Attended an accredited LPN program
• Currently licensed/registered in applicable State. Must maintain an active Licensed Practical/Vocational Nurse (LPN/LVN) license in good standing throughout employment.
• Two (2) years’ nursing experience. Geriatric nursing experience preferred.
• CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.

Specific Job Requirements

• Advanced knowledge in field of practice
• Make independent decisions when circumstances warrant such action
• Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
• Implement and interpret the programs, goals, objectives, policies, and procedures of the department
• Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
• Maintains professional working relationships with all associates, vendors, etc.
• Maintains confidentiality of all proprietary and/or confidential information
• Understand and follow company policies including harassment and compliance procedures
• Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

Essential Functions

• Complete and submit accurate and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations
• Report any changes in a patient’s condition identified by the MDS Assessment to the DON
• Provide education to direct care associates regarding updates or changes to the CMS RAI Manual or Skilled Nursing Facility Regulations that impact documentation
• Assist with review of the Interdisciplinary Comprehensive Care Plan
• Review Final Validation Reports and ensure all assessments have been accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill
• Review CMS Reports to identify assessments completed or submitted late and develop systems and processes to prevent reoccurrence
• Attend and participate in the Daily PPS Meeting, Monthly Triple Check, and other meetings upon request in the absence of the RN MDS Coordinator
• Perform functions of a staff nurse as required
• Exhibit excellent customer service and a positive attitude towards patients
• Assist in the evacuation of patients
• Demonstrate dependable, regular attendance
• Concentrate and use reasoning skills and good judgment
• Communicate and function productively on an interdisciplinary team
• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
• Read, write, speak, and understand the English language

An Equal Opportunity Employer