Job Information
Living Legends Health MDS RN in TONAWANDA, New York
Description
MDS RN (REGISTERED NURSE)
Shift: Full-Time
JOB DESCRIPTION:
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!
Qualifications
Education
Required
- Associates or better in Nursing
Licenses & Certifications
Required
- RN
Experience
Preferred
- 2 years: Nursing
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
