RN-MDS Director

Cobble Hill LifeCareBrooklyn, NY
3d

About The Position

RN-Director of MDS Full Time Cobble Hill Health Center is a not-for-profit long- and short-term care facility providing services to the disabled and elderly for over 40 years. The MDS Assessor will play an integral role in helping us to achieve our vision: to consistently exceed expectations and set the standard for excellence in residential and community care. We are seeking an experienced and detail-oriented Director of MDS to lead and oversee all aspects of the MDS process, ensuring compliance, accuracy, and optimal reimbursement. This role is responsible for monitoring CMI, leading related meetings, and regularly communicating Quality Measures to the interdisciplinary team. The Director will review MDS assessments to ensure accurate coding, conduct PDPM reviews upon admission and prior to submission, and collaborate with rehab to verify correct primary diagnoses. Responsibilities also include reviewing UB04s, managing ADR responses and appeals, coordinating with Livanta, and submitting timely documentation to the billing company. The Director will also play a key role in audit responses, run Medicare Part B reports, and actively participate in key facility meetings including Medical Board, Therapy, QAPI, and Utilization Review. This role is essential in ensuring and maximizing proper reimbursement will maintaining compliance with federal and state guidelines. This is a key clinical position in a renowned health care facility among innovative and committed leaders in the industry. Excellent professional environment providing an opportunity to learn, grow and have an impact on the overall results.

Requirements

  • Current New York State RN license
  • Three or more years of experience in a long-term care facility as an MDS Coordinator
  • Knowledge of Medicare and Medicaid criteria and assessment regulations
  • Excellent listening and communication skills
  • Ability to complete documentation in a timely manner
  • Attention to detail and accuracy when performing assessments

Nice To Haves

  • RAC Certification
  • Prior leadership experience

Responsibilities

  • Lead and oversee all aspects of the MDS process
  • Ensure compliance, accuracy, and optimal reimbursement
  • Monitor CMI
  • Lead related meetings
  • Regularly communicate Quality Measures to the interdisciplinary team
  • Review MDS assessments to ensure accurate coding
  • Conduct PDPM reviews upon admission and prior to submission
  • Collaborate with rehab to verify correct primary diagnoses
  • Review UB04s
  • Manage ADR responses and appeals
  • Coordinate with Livanta
  • Submit timely documentation to the billing company
  • Play a key role in audit responses
  • Run Medicare Part B reports
  • Actively participate in key facility meetings including Medical Board, Therapy, QAPI, and Utilization Review
  • Ensuring and maximizing proper reimbursement will maintaining compliance with federal and state guidelines

Benefits

  • Referral bonuses
  • An opportunity to express your talents and lead a high-performing team
  • Free hot meal for each shift worked
  • Retirement plan with employer contribution, plus a 403b
  • Generous medical, dental, vision, and life insurance coverage
  • Employer contribution toward medical deductible
  • 10 paid holidays plus an additional 34 sick/vacation days (including your birthday!)
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