We currently have an excellent opportunity for an RN/LPN who has eperience with MDS completion, reimbursement, clinical resources utilization and/or case management. S

Responsibilities include:

• Ensures timely, accurate and complete assessment of the residents’ health and functional status during the entire assessment period.
• Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the facility.
• Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments.
• Performs concurrent MDS review to assure appropriate RUGS category is achieved through the capture of appropriate clinical information. Identifies opportunities to enhance reimbursement.
• Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay and ensures the accurate and timely completion of all MDS assessments. Performs modifications and inactivations of assessments in accordance with CMS Correction Policy. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes and utilization of Data Integrity Audit reports per company policy. Ensures the timely electronic submission of all Minimum Data Sets.
• Communicates with the Business Office and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index, if applicable, and their reimbursement impact.
• Participates in the month end Triple Check and other meetings as appropriate
• Other duties as assigned.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Physical setting:

• Long term care
• Nursing home
• Rehabilitation Center

Standard shift:

• Day shift