MDS- RN Float

Medilodge of West Bloomfield•West Bloomfield, NY

20d•Onsite

About The Position

The MDS RN Float works at MediLodge of West Bloomfield and supports resident assessments and care planning in a long-term care and skilled nursing setting. The role coordinates the Resident Assessment Instrument (RAI) process, including scheduling, completing, transmitting, and ensuring the accuracy and timeliness of assessments. It works closely with the interdisciplinary team (IDT), residents, families, caregivers, practitioners, facility staff, and insurance contacts to support resident care, skilled services, discharge planning, and regulatory compliance. The position also coordinates Medicare and insurance-related processes, including skilled-stay reviews, authorizations, Triple Check reviews, utilization reviews, practitioner certifications, and billing checks. It supports quality-measure monitoring, focused surveys, and required training. The posting specifies a part-time schedule of three days per week. MediLodge describes its workplace as employee-focused, with recognition and opportunities for career development. Benefits and perks mentioned include medical, dental, vision, prescription drug, and pet insurance options; tuition reimbursement and student loan repayment; 401(k); HSA and FSA options; benefits assistance; flexible pay options; and referral bonuses.

Requirements

Licensed nurse in good standing; RN preferred.
Acceptable background check.
Must be over 21 years of age.
Ability to read, write, comprehend, and communicate in English and follow oral and written instructions.
Ability to function independently and demonstrate flexibility, personal integrity, and effectiveness working with residents, coworkers, managers, other personnel, and support agencies.
Ability to deal tactfully with people in person and over the phone.
Aptitude and ability to use office machines and computers.
Ability to make independent decisions and solve problems.
Ability to exercise discernment and make sound judgments.
Knowledge of medical symbols, abbreviations, and terminology.
Knowledge of nursing and medical practices and procedures, and of laws, regulations, and guidelines pertaining to long-term care.

Nice To Haves

MDS experience preferred.
RN licensure preferred.

Responsibilities

Plan, schedule, and ensure completion of all components of the RAI process for each resident in accordance with regulations.
Assess residents using medical records, resident assessments and interviews, staff interviews, family and caregiver interviews, and electronic records.
Use software to complete and transmit RAI components and ensure assessments are accurate and timely.
Support the IDT in scheduling and completing care plan reviews.
Complete triggered CAA assessments and facilitate development of coordinated care plans.
Attend meetings about changes in resident status and schedule required assessments, including Significant Change assessments.
Maintain the schedule of required OBRA and PPS assessments and communicate with the IDT.
Work with the IDT to plan resident discharges from admission through discharge.
Review resident assessments and medical records to determine appropriate diagnosis coding; enter, list, and modify diagnosis codes as needed.
Coordinate skilled stays in accordance with Medicare and insurance guidelines and contract provisions, including for Managed Care Part C, dual-eligible skilled Medicaid, and private insurance patients.
Gather information for insurance authorizations and re-authorizations, facilitate obtaining them, and serve as a facility contact for insurance updates.
Facilitate weekly utilization reviews for patients receiving Medicare A, Medicare B, and insurance-covered skilled services.
Review Triple Check components daily, weekly, and monthly for compliance with skilled-services regulations and contract requirements.
Facilitate team meetings and support RAI, Medicare certification, diagnosis coding, and related processes.
Meet daily with the facility rehab coordinator to review minutes and ADL scores and track COT and EOT needs for PPS assessments.
Work with the IDT to determine the reason for skilled services and coordinate care to ensure those services are provided.
Initiate and complete practitioner certifications as needed and ensure signatures and dates are obtained; maintain practitioner signature logs.
Support ADR processes and medical-record requests by gathering information for the medical records team.
Review the billing process monthly with the BOM to ensure required components are accurately reflected on the UB-04.
Complete state-specific CMI, LOCD, tracking-tool, and Part B log requirements monthly and maintain needed access and logins.
Ensure RAI regulatory components are compliant and coordinate RAI components for MDS-focused surveys.
Support clinical teams by communicating Five Star Quality Measure flags and helping manage quality measures.
Complete required monthly in-services and MDS-focused training as required.

Benefits

Medical insurance options through Anthem Blue Cross Blue Shield.
Dental insurance options.
Vision insurance options.
Prescription drug insurance options.
Pet insurance options.
Tuition reimbursement.
Student loan repayment options.
401(k) retirement savings.
HSA and FSA options.
Benefits concierge assistance.
Flexible pay options through UKG Wallet, with daily, weekly, or bi-weekly pay.
Unlimited referral bonuses.
Career development opportunities, including learning, training, and advancement.
Employee recognition.