RN MDS & Reimbursement Specialist — Long-Term Care

RiseMe; Peterborough (NH); On-site; USD 69,000 - 70,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition, Travel, and Wireless service

Employee Assistance Program

Employee Foundation

Health, Dental, Vision, Life insurance

401K, PTO

On-Demand Pay

24/7 virtual health care

Pet Insurance

Other voluntary insurances

Job summary

RiseMe is seeking a skilled MDS Nurse -- RN in New Hampshire to oversee Medicare/Medicaid case-mix documentation, MDS assessments, and concurrent reviews to optimize reimbursement. You’ll educate staff on MDS terminology and ensure accurate case-mix reporting throughout patient stays.

You must be a graduate nurse with an active RN license in the employment state, with long-term care experience and BLS/CPR certification. This on-site role offers growth and a collaborative team environment.

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

• 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

Long-term care

Medicare/Medicaid reimbursement

MDS completion

BLS/CPR

Education

Nursing degree (RN)

Job description

RiseMe is seeking a skilled MDS Nurse -- RN in New Hampshire to oversee Medicare/Medicaid case-mix documentation, MDS assessments, and concurrent reviews to optimize reimbursement. You’ll educate staff on MDS terminology and ensure accurate case-mix reporting throughout patient stays.

You must be a graduate nurse with an active RN license in the employment state, with long-term care experience and BLS/CPR certification. This on-site role offers growth and a collaborative team environment.