RN MDS & Reimbursement Specialist

West State Street; Lebanon (Lebanon County); On-site; USD 63,000 - 68,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition, Travel, and Wireless Service 

Employee Assistance Program to support

Employee Foundation to financially

Health, Dental, Vision, Company-paid 1

Free 24/7 virtual health care provided

On-Demand Pay Program

Job summary

West State Street is seeking an MDS Nurse -- RN in a long-term care setting. You will manage MDS assessments, ensure proper case-mix, and support accurate reimbursement while educating staff on MDS terminology.

The role requires RN licensure in the hiring state, at least one year in LTC, BLS/CPR certification, and experience with Medicare/Medicaid processes. Competitive hourly pay and benefits are offered.

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required.
• 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

• The MDS Nurse -- RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.
• Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.
• Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.
• Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state case-mix scores, etc.
• Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.

Skills

RN licensure

LTC nursing experience

MDS knowledge

BLS/CPR certification

Job description

West State Street is seeking an MDS Nurse -- RN in a long-term care setting. You will manage MDS assessments, ensure proper case-mix, and support accurate reimbursement while educating staff on MDS terminology.

The role requires RN licensure in the hiring state, at least one year in LTC, BLS/CPR certification, and experience with Medicare/Medicaid processes. Competitive hourly pay and benefits are offered.