RN MDS & Reimbursement Specialist

Genesiscareers; Ansted (WV); On-site; USD 49,000 - 54,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition, Travel, and Wireless Service-

Employee Assistance Program to support

Employee Foundation to financially aid

Health, Dental, Vision, Company-paid 1

401K, Paid Time Off

Free 24/7 virtual health care

On-Demand Pay Program

Pet Insurance

Term and Whole Life Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage

Job summary

Genesiscareers is seeking an experienced MDS Nurse -- RN to oversee Medicare/Medicaid case-mix documentation and ensure accurate reimbursement in a long-term care setting. You will maintain MDS assessment schedules, perform concurrent reviews to optimize RUGs, and relay case-mix data to the Business Office.

A nursing degree and active RN license are required, with LTC experience preferred. This on-site role offers competitive wages and benefits in a supportive team environment that values

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN licensure in the state of employment.
• One year of long term care clinical nursing experience is required.
• Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
• Must maintain current BLS/CPR certification (excluding ALFs/ILFs).

Responsibilities

• Manage the overall process and tracking of Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for services.
• Maintain an accurate schedule of all MDS assessments and ensure timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.
• Perform concurrent MDS reviews to ensure correct RUGs categorization by capturing relevant clinical information and identifying opportunities to optimize reimbursement.
• Communicate case-mix data required for billing to the Business Office (e.g., RUGs categories, modifiers, state case-mix scores).
• Serve as the nursing center resource for MDS/RUGs and state case-mix systems, providing staff education on MDS terminology and format.

Skills

RN licensure

BLS/CPR

Medicare/Medicaid knowledge

Long-term care experience

Education

Nursing degree (RN)

Job description

Genesiscareers is seeking an experienced MDS Nurse -- RN to oversee Medicare/Medicaid case-mix documentation and ensure accurate reimbursement in a long-term care setting. You will maintain MDS assessment schedules, perform concurrent reviews to optimize RUGs, and relay case-mix data to the Business Office.

A nursing degree and active RN license are required, with LTC experience preferred. This on-site role offers competitive wages and benefits in a supportive team environment that values