MDS Coordinator (RN)

Illuminus•Watertown, WI

About The Position

We are seeking a registered nurse (RN) who has experience working in a skilled nursing facility to join our team. The Clinical Reimbursement specialist will oversee the nursing home assessment and submission of Minimum Data Set (MDS). If you are a highly motivated individual with a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We would love to meet you! Summary Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Will ensure center adheres to Medicare coverage requirements; such as certification, assessment, and advance beneficiary notice. Will oversee the Medicare meeting and provide direction to support process improvement. Will oversee and assure accuracy/quality of the MDS/RAI process, including scheduling, completion and content. Will be responsible to review 24 hr. report, physician orders, stand up meeting minutes daily, and monitor for any resident MDS/insurance coverage issues. Will manage all requirements to authorize coverage & continued stay from HMO, Insurance, and LTC Policies. Will maintain a strong working relationship therapy to determine assessment reference dates, insurance coverage criteria, and patient rehabilitative plan of care. Performs other duties, as assigned.

Requirements

Nursing Home Experience.
Current license in good standing to practice in Wisconsin as a Registered Nurse.
4-5 years of experience in Minimum Data Set preferred.
Ability to navigate and effectively utilize an Electronic Medical Record program.
Current CPR certification.
Commitment to quality outcomes and services for all individuals.
Ability to relate well to all individuals.
Ability to maintain and protect the confidentiality of information.
Ability to exercise independent judgment and make sound decisions.
Ability to adapt to change.

Nice To Haves

AANAC Resident Assessment Coordinator Certification Preferred.

Responsibilities

Maintains and actively promotes effective communication with all individuals.
Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
Will ensure center adheres to Medicare coverage requirements; such as certification, assessment, and advance beneficiary notice.
Will oversee the Medicare meeting and provide direction to support process improvement.
Will oversee and assure accuracy/quality of the MDS/RAI process, including scheduling, completion and content.
Will be responsible to review 24 hr. report, physician orders, stand up meeting minutes daily, and monitor for any resident MDS/insurance coverage issues.
Will manage all requirements to authorize coverage & continued stay from HMO, Insurance, and LTC Policies.
Will maintain a strong working relationship therapy to determine assessment reference dates, insurance coverage criteria, and patient rehabilitative plan of care.
Performs other duties, as assigned.

Benefits

Health (low to no cost), Dental, & Vision Insurance
Flexible Spending Account (Medical and Dependent Care)
401(k) with Company Match
Financial and Retirement Planning at No Charge
Basic Life Insurance & AD&D - Company Paid
Short and Long Term Disability - Company Paid
Voluntary Ancillary Coverage
Employee Referral Bonus Program.
Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
Paid Time Off and Holidays acquired from day one of hire.
Employee Assistance Program
Benefits vary by full-time, part-time, and PRN status.