MDS Specialist

Colorow Care Center•Olathe, CO

10d

About The Position

The primary responsibility of your job position is to direct, coordinate and lead MDS Systems, Medicare A, Medicare B and all other insurance providers, as well as conduct care coordination for case management following the current federal, state and local standards, guidelines and regulations that govern long term care and assisted living facilities. Incumbent is delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties to ensure appropriate reimbursement for services provided within the Center.

Requirements

Graduated from an accredited school of nursing; current RN license in the State of Colorado preferred, LPN required
Must have as a minimum, three (3) years experience in an administrative supervisory capacity in a hospital or nursing facility.
Must have prior MDS experience.
Ability to pass a criminal background check as well as Colorado CAPS background check.
COVID Vaccine Required or Valid Exemption

Responsibilities

Coordinates and manages the process of information and clinical integration from the Interdisciplinary Team (IDT): nursing, dietary, social services, restorative nursing, physician services and the rehabilitation team to ensure the appropriate level of skilled need and capturing of all resources.
Perform clinical assessments and manage the data entry of residents in all care areas needed to complete regulatory/PPS and other reimbursement related MDS forms and ensure accuracy of the MDS including timely submission of the transmission process.
Maintains current and comprehensive knowledge of MDS and Medicare/Medicaid reimbursement.
Serves as Center resource for MDS/RUGS and Case Mix systems.
Coordinates with the Business Office Manager required billing data such as: RUGs, case mix data, and insurance authorization required for billing accuracy.