MDS Specialist

Colorow Care Center; Olathe (KS); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Generous Bonuses

Daily Pay Advance Option Available

Growth Opportunities

Health Benefits

401K

Job summary

Colorow Care Center is seeking an MDS Specialist to direct, coordinate, and lead MDS systems, Medicare A/B and other insurances, while overseeing case management and ensuring accurate reimbursement for services in a long-term care setting.

You will coordinate with the Interdisciplinary Team—nursing, dietary, social services, restorative nursing, physicians and rehab—to determine the appropriate level of skilled care, perform clinical assessments, and manage data entry for PPS and MDS submissions.

Qualifications

• Must have MDS experience and knowledge of Medicare/Medicaid reimbursement.
• Administrative supervisory experience in a hospital or nursing facility is preferred.
• Ability to pass a criminal and CAPS background check.

Responsibilities

• Coordinates and manages information and clinical integration from IDT to ensure appropriate skilled level and resource capture.
• Performs clinical assessments and data entry for regulatory/PPS and MDS submissions with accuracy.
• Maintains up-to-date knowledge of MDS and Medicare/Medicaid reimbursement.
• Serves as resource for MDS/RUGS and Case Mix systems.
• Coordinates with Business Office Manager for billing data and insurance authorization.

Skills

MDS knowledge

Regulatory compliance

Team coordination

Education

RN license (Colorado preferred)

Job description

WHAT WE'RE ABOUT

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an organization that supports your growth?

Requirements:

You care.

MDS Specialist Perks:

• Generous Bonuses


• Daily Pay Advance Option Available


• Growth Opportunities


• Health Benefits


• 401K

MDS Specialist Summary:

The primary responsibility of your job position is to direct, coordinate and lead MDS Systems, Medicare A, Medicare B and all other insurance providers, as well as conduct care coordination for case management following the current federal, state and local standards, guidelines and regulations that govern long term care and assisted living facilities. Incumbent is delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties to ensure appropriate reimbursement for services provided within the Center.

Essential Duties and Responsibilities:

• Coordinates and manages the process of information and clinical integration from the Interdisciplinary Team (IDT): nursing, dietary, social services, restorative nursing, physician services and the rehabilitation team to ensure the appropriate level of skilled need and capturing of all resources.


• Perform clinical assessments and manage the data entry of residents in all care areas needed to complete regulatory/PPS and other reimbursement related MDS forms and ensure accuracy of the MDS including timely submission of the transmission process.


• Maintains current and comprehensive knowledge of MDS and Medicare/Medicaid reimbursement.


• Serves as Center resource for MDS/RUGS and Case Mix systems.


• Coordinates with the Business Office Manager required billing data such as: RUGs, case mix data, and insurance authorization required for billing accuracy.

Qualifications:

• Graduated from an accredited school of nursing; current RN license in the State of Colorado preferred, LPN required


• Must have as a minimum, three (3) years experience in an administrative supervisory capacity in a hospital or nursing facility.


• Must have prior MDS experience.


• Ability to pass a criminal background check as well as Colorado CAPS background check.


• COVID Vaccine Required or Valid Exemption

Benefits:

• Medical insurance with Rx benefits


• Dental Insurance


• Vision care


• 401k


• Paid vacation