MDS Coordinator RN

CareOne • Contract • Livingston, NJ, US • 2m ago

Job Description

Balance Life & Work with a New Career Opportunity

(SKILLED NURSING)

(ASSISTED LIVING)

Now Hiring - Clinical Reimbursement Coordinator - (Livingston, NJ)

(CareOne at Livingston)

The Clinical Reimbursement Coordinator assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist. The Clinical Reimbursement Coordinator is also responsible for regulatory compliance and quality improvement efforts in order to attain appropriate Medicare or Managed Care reimbursement. This position integrates information from all necessary disciplines to maintain accuracy and compliance with the MDS process. By conducting concurrent MDS reviews, he/she assures the achievement of maximum allowable RUG categories. Working collaboratively with facility team members, the CRC ensures that services offered meet or exceed federal, state and company standards and serves as a role model for ethical business practices according to health standards.

Essential Duties And Responsibilities

Maintain a professional standard of behavior when interacting with staff, residents family members or visitors
Follow and uphold the company Code of Conduct
Facilitate Daily PPS and Weekly Medicare meeting
Knowledge of and compliance with HIPAA guidelines
Knowledge of and ability to download reports from Point Right
Knowledge of and ability to download state and federal reports from Internet
Participate in Monthly Billing Reconciliation meeting
Complete MDS's per schedule as required for Medicare, Managed care and OBRA schedules
Initiate/Update Care plans as required
Ensure compliance with State, Federal, and Point Right transmissions and make modifications as needed
Facilitate and coordinate with other disciplines to maintain care plan development and ongoing updates per MDS schedule
Provide updates as required per Managed Care contract guidelines
Communicate promptly with facility team/regional consultant any issues or concerns
Completion and issuance of denial letters, coordination of Medicare certification completion, review of skilled nursing documentation (including CNA documentation) to support skilled needs
Serve as the center resource for MDS/PPS; and state Medicaid reimbursement.
Manage Medicare appeals process, and participate in Administrative Law Judge hearings as needed.
Implement and participate in the company processes developed to appropriately maximize reimbursement

Position Requirements

Graduate of an approved RN program
Current RN license in the state and credentials as required
Prior experience in Medicare reimbursement and/or MDS experience preferred
Knowledge of Managed Care reimbursement systems
Word processing and computer skills
Excellent oral and written communication skills
Excellent ability to maintain an effective, friendly working relationship with others
Basic mathematic ability; ability to use calculator
Knowledge of quality improvement process, how it affects the 5 Star report, and ability to identify issues or trends and implement corrective action plans as needed
Knowledge of the 5 Star report
Excellent attention to detail; well organized
Ability to provide one-on-one or small group education related to identified areas of need

About Us

The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees.

We Are Proud To Offer

Competitive Salary
Comprehensive Healthcare Benefits
401k Retirement Plan
Paid Time Off
Opportunities to advance and grow your career
And More

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility!

We are an Equal Opportunity Employer

EEO/AA/M/F/DV

Related Jobs

MDS Coordinator- RN

Atlas Rehabilitation and Healthcare at Daughters of Miriam Campus • Full-time • Clifton, NJ, US • 5d ago

RN MDS

Responsible for ensuring timely completion of accurate resident assessments and interdisciplinary care plans that meet state and federal guidelines.

5d ago

VIEW JOB

MDS Coordinator RN

HC&N Healthcare Solutions • Full-time • Maplewood, NJ, US • 3w ago

RN MDS

MDS Coordinator RN MDS Coordinator RN Job description Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAA's) and Care Plans, in accordance with current...

3w ago

VIEW JOB

MDS Coordinator

Green Hill Senior Living and Rehabilitation • Full-time • West Orange, NJ, US • 2w ago

RN MDS

OVERVIEW: MDS Coordinator administers patient assessments and oversees the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner. MDS Coordinator...

2w ago

VIEW JOB

RN-Psychiatric (Full-time, Night shift)

CarePoint Health • Full-time • Bayonne, NJ, US • 1w ago

RN Psych

About Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayon...

1w ago

VIEW JOB

RN-Same Day Surgery (Full-time, Day shift)

CarePoint Health • Full-time • Bayonne, NJ, US • 1w ago

RN Outpatient

1w ago

VIEW JOB

Director of Nursing

Atlas Rehabilitation and Healthcare at Daughters of Miriam Campus • Full-time • Clifton, NJ, US • 1w ago

RN Director of Nursing

Summary/Objective In keeping with our organization’s goal of improving the lives of the Residents we serve; the Director of Nursing plays a critical role in providing superior customera service and nursing services to...

1w ago

VIEW JOB

Registered Nurse (RN) PRN and PT

Alliance Care Rehabilitation & Nursing Center • Per Diem • Irvington, NJ, US • 1w ago

Registered Nurse (RN) Shifts Available: PRN and Part Time Salary: Up to $43 Join Our Caring Team At Alliance Care Rehabilitation and Nursing Center, we're more than a workplace; we're a community...

1w ago

VIEW JOB

Case Management Travel Registered Nurse (RN)

American Traveler • Contract • Jersey City, NJ, US • $2,562 / week • 1w ago

RN Travel

American Traveler is offering a rewarding Case Management Registered Nurse (RN) contract position in Jersey City New Jersey. Shift: Days 8 Job Length: 13 weeks -- RNs who work with us receive a highly competitive pay...

1w ago

VIEW JOB

Director of Nursing Services/Wellness Director

CareOne • Full-time • Livingston, NJ, US • 2w ago

Job Description Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (ASSISTED LIVING) Now Hiring - Director or Wellness - Livingston, NJ CareOne at Livingston Assisted Living Job Dutie...

2w ago

VIEW JOB

Registered Nurse

ATC Healthcare Travelers • Full-time • West Orange, NJ, US • 2w ago

RN Travel

Registered Nurse - Pediatric Critical Care Float Pool @ Cooperman Barnabas Medical Center - Livingston, NJ Profession: Registered Nurse Specialty: Pediatric Critical Care Float Pool Unit: NICU Float, SB1011172110...

2w ago

VIEW JOB