RN OR LPN MDS Coordinator Clinical Reimbursement Experienced

Vantage Care Management; New Bedford (MA); On-site; USD 72,000 - 100,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental insurance

Vision

Life insurance

Vacation

Holidays

Paid Sick Time

Job summary

Vantage Care Management is seeking an RN/LPN to join our New Bedford facility as an MDS Coordinator / Clinical Reimbursement specialist. You will oversee Medicare/Medicaid case-mix documents, ensure accurate MDS submissions, and work with staff to optimize reimbursement while maintaining compliant documentation.

The role requires long-term care nursing experience, MDS/HIPPS knowledge, and current BLS/CPR certification. Excellent collaboration with Business Office and clinical teams is essential.

Qualifications

• Graduate of an accredited School of Nursing with RN or LPN licensure in the state of employment.
• Minimum one year of long-term care clinical nursing experience.
• Experience with Medicare/Medicaid reimbursement and MDS completion.
• Current BLS/CPR certification.

Responsibilities

• Manage MDS assessments schedule and submissions.
• Perform concurrent MDS reviews to optimize HIPPS.
• Collaborate with staff to ensure complete MDS documentation.
• Communicate case-mix data to the Business Office.
• Provide MDS/HIPPS education to staff.
• Develop accurate resident care plans to support care and reimbursement.

Skills

MDS coordination

HIPPS

Case management

Documentation

Revenue reimbursement

Education

Nursing degree (RN/LPN)

Tools

MDS/HIPPS systems

Job description

Vantage at New Bedford!

RN or LPN Experienced

Come work with a great team!

We are seeking talented individuals to join our dynamic team at Vantage Care, LLC! As we continue to grow and expand, we are looking for passionate and skilled professionals who are eager to make a meaningful impact! We hope to hear from you!

Please visit our facility

Located at: Vantage Health & Rehab of New Bedford

200 Hawthorn Street, New Bedford, MA 02740

Casual Fridays!!!

Great Team!!!

Excellent Benefits

• 401(k)
• Health
• Dental insurance
• Vision
• Life insurance
• Vacation
• Holidays
• Paid Sick Time

MDS Coordinator / Clinical Reimbursement Full job description

The MDS Coordinator / Clinical Reimbursement - RN/LPN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.

MDS Coordinator / Clinical Reimbursement Position Highlights

• Maintains the 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 PDPM required assessments.
• Perform concurrent MDS review to ensure appropriate HIPPS category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.
• Collaborate with facility staff to assist with ensuring accurate/complete documentation to support accurate coding of MDS assessments and prevent revenue recoupment on audits.
• Communicate case-mix data required for billing to the Business Office such as HIPPS categories, modifiers, state case-mix scores, etc.
• Serve as the nursing center resource for MDS/HIPPS and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.
• Ensure the development of accurate and resident specific care plans to support quality of care and reimbursement.

Requirements: *Must be a graduate of an accredited School of Nursing with current RN/LPN 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).

Vantage Care requires evidence of COVID-19 vaccination for all Vantage personnel and affiliates who will be present at a facility. Exemptions will be provided in accordance with applicable federal and state laws.

Vantage Care is an equal employment opportunity employer. All employment decisions are based on merit, qualifications, and competence and not influenced or affected by race, color, religion, age, gender, national origin, ancestry, marital status, military status, veterans’ status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by federal, state, or local law.