Registered Nurse (RN), Regional MDS Coordinator

CHQ CHSI EMP LLC; United States; On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Competitive wages

PTO plans

Life and disability plans

Medical, dental and vision coverage

401(k) with employer match

Flexible Spending Accounts

Job summary

CommuniCare Family of Companies is seeking a Regional MDS Coordinator to provide consultation, guidance, and education on the Resident Assessment Instrument processes and Medicare/Medicaid regulations across multiple centers.

You will lead training on clinical software, reimbursement systems, and case management workflows, monitor center reimbursement and service delivery, and support RACs as needed to ensure accurate patient assessments and compliant documentation.

Qualifications

• Registered Nurse license in primary state of residence.
• Extensive MDS experience.
• Regional experience preferred.
• Minimum of three (3) years of experience as a trainer in Medicare, Medicaid, RAI, and contract reimbursement systems preferred.
• Multi-facility management experience preferred

Responsibilities

• Interpreting policies, state and federal regulations and changes to Medicare/Medicaid programs.
• Providing comprehensive training for systems related to the patient assessment instrument, clinical software, Medicare reimbursement, Medicare coverage/eligibility requirements, State Medicaid reimbursement systems, and special contract systems.
• Monitoring and supporting center reimbursement and clinical services.
• Providing direction for the implementation of the case management process and ongoing support related to program integrity.
• Monitoring RAI process for accuracy and reimbursement potential via MR review, discussion, recommendation, documentation, and reporting.
• Maintaining RAC role when needed.
• Recruiting and orienting new RACs as needed.
• Establishing rapport and trust with regional and center teams; communicating concerns appropriately

Skills

RN license

MDS experience

Regional experience

Trainer in Medicare/Medicaid/RAI

Multi-facility management

Education

Registered Nurse license

Job description

Job Address: 700 Chappell Road Charleston, WV 25304

Purpose/Belief Statement

As the Regional MDS Coordinator, you will provide consultation, guidance, support, research, analysis, training, and expertise to attain business goals and quality outcomes in the delivery of care and services to our patients regardless of payer source. You will be responsible for multiple centers to evaluate and provide education, intervention, and support for the Resident Assessment Instrument (RAI) process, Federal and State regulations regarding reimbursement systems, and special contract reimbursement systems.

Job Responsibilities

Demonstrating knowledge of and interpreting applicable policies and procedures, State and Federal regulations, and interpreting changes to federal Medicare and Medicaid programs

Providing comprehensive training for systems related to the patient assessment instrument, clinical software, Medicare reimbursement, Medicare coverage/eligibility requirements, State Medicaid reimbursement systems, and special contract systems

Monitoring and supporting center reimbursement and clinical services

Providing direction for the implementation of the case management process and providing on-going support as it relates to the program integrity

Monitoring RAI process for accuracy and completeness to assure accurate, comprehensive patient assessment and reimbursement potential is reflected by medical record review, discussion, recommendation, documentation, and reporting

Maintaining role of RN Resident Assessment Coordinator (RAC) when needed

Recruiting and orienting new RACs as needed

Establishing rapport and trust with regional and center teams, communicating concerns appropriately

Position Requirements

Registered Nurse license in primary state of residence

Extensive MDS experience required. Regional experience preferred.

Minimum of three (3) years of experience as a trainer in Medicare, Medicaid, RAI, and contract reimbursement systems preferred

Multi-facility management experience preferred

Benefits

As a CommuniCare employee you will enjoy competitive wages and PTO plans in a great team atmosphere!

We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers.

• competitive wages
• PTO plans
• life and disability plans
• medical, dental and vision coverage
• 401(k) with employer match
• Flexible Spending Accounts

About Us

Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 130 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 16,000 employees across several states. As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work, and families to heal.

Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19, 000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania). As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay and families to heal.