Job Details

Description

MDS RN (REGISTERED NURSE)

SHIFT: Day Shift, Weekdays

RATE: $34-$36

Coordinates and monitors the facility's Medicare, Managed Care, and Medicaid revenue. Ensures residents receive optimal skilled services to meet needs for optimal independent function and potential discharge to the community. Monitors facility Quality Measures, identifies issues related to Quality Measures, and assists facility with any corrective actions needed to improve overall quality services. Educates facility staff on innovative procedures to optimize utilization and reimbursement through completing the MDS, care plan, and care guide process.

Responsibilities

Provides education and assistance to facilities in Medicare/Medicaid-related areas, including eligibility, certification, coverage, documentation, utilization, and reimbursement.
Interacts with Medicare, Managed Care, and Medicaid claims review unit and compliance unit to assist facilities in complying with company procedures and federal, state, and local regulations.
Reports regularly to MDS Coordinator and administration on issues and activities.
Completes and assesses compliance with Medicare, Managed Care, Medicaid, third-party payers, and company procedures.
Gathers data to acquire accurate and timely completion of MDS 3.0 related to Medicare, Managed Care, and Medicaid.
All other duties as assigned.

Requirements

Registered Nurse in the State of New York
Bachelor's degree preferred but not required
Prefer experience in Medicare/Medicaid areas in long-term care or clinical training
Must have excellent communication skills in both individual and group settings
Capable of maintaining regular attendance
Capable of performing all of the essential job functions of this position, with or without reasonable accommodations
Basic to advanced computer knowledge, preferably with MDS 3.0, PCC e-MAR, and CMI reimbursement processes

Benefits

Paid Time Off (PTO)
Health, Vision, and Dental Insurance
Life Insurance
Referral Bonus Program
Tuition Support
Weekly or Same Day Pay Options
Supportive Work Environment

Apply today and become a key part of our team in maintaining a comfortable, safe environment for residents and staff alike!

The McGuire Group Health Care Facilities

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