MDS Coordinator Registered Nurse (RN)
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Job Location:
West Allis, WI - USA
Hourly Salary:
$ 35 - 45
Posted on:
12 hours ago
Vacancies:
1 Vacancy
Job Summary
If youre driven by excellence in resident care and understand how accurate assessments directly impact outcomes and reimbursement this role was designed for you.
We are seeking a Full-Time MDS Coordinator (RN) to play a critical role at the intersection of clinical care compliance and quality this position youll lead the completion of comprehensive resident assessmentsensuring accuracy timeliness and compliance with Medicare Medicaid OBRA and other payer in close partnership with our interdisciplinary team youll ensure each assessment fully reflects the residents physical cognitive and psychosocial status while supporting appropriate services and optimal reimbursement.
This is more than a documentation roleits an opportunity to be a trusted clinical expert. If youre detail-oriented collaborative and passionate about compliance with purpose youll thrive here.
Youll join a supportive interdisciplinary team where your expertise is valued your voice is heard and youre encouraged to mentor and elevate less experienced nursing staff while continuing to sharpen your own skills. If youre ready to make a meaningful impact every day wed love to meet you.
- Wisconsin RN License
- 1-2 years of experience/training
- Participates in pre-admission process to gather essential information for MDS/Case Mix optimization and recommends admission decisions while collaborating with the Rehab Coordinator for accurate Medicare assessments.
- Ensures timely and accurate completion of MDS assessments (initial quarterly and annual) collaborating with the interdisciplinary team and addresses significant changes in status and modifications per CMS correction policies.
- Coordinates and tracks Medicare PPS/OBRA assessments provides staff training on reimbursement systems stays updated on regulations and ensures compliance with EHSI standards and state/federal guidelines.
- Manages Medicare Part A and B certification/recertification oversees communication with Managed Care VA and other payors and ensures proper reimbursement by evaluating care from pre-admission to discharge.
- Monitors compliance with Medicare Medicaid and other benefit programs reviews documentation for accuracy tracks claims denials and assists with ADRs reconsiderations and ALJ hearings to ensure reimbursement and regulatory compliance.
- Communicates regularly with the D.O.N. and V.P./Administrator on clinical reimbursement issues provides education to staff on coding and documentation and supports orientation and training of employees.
- Ensures compliance with safety standards maintains professional development with ongoing CEUs attends mandatory in-house education and stays current in professional organizations related to subacute care.
- Manages Medicare denial letters and appeals oversees resident restorative programs in collaboration with therapists and maintains a record of attendance and professional conduct according to facility standards.
- HR will contact you within 1-2 business days of your application submission
- Complete 1-2 interview(s) and meet with immediate supervisor and mentor
- Upon receiving the job offer complete onboarding paperwork through Paycor
- Paid New-Hire Orientation
- Continuous training from mentor
Required Experience:
IC
Key Skills
- EMR Systems
- Hospital Experience
- Acute Care
- ICU Experience
- Hospice Care
- Workers' Compensation Law
- Home Care
- Nursing
- Catheterization
- Critical Care Experience
- Medication Administration
- Tube Feeding
About Company
VMP is a caring community committed to enriching people’s lives. We offer a full continuum of care from independent living, assisted living, and memory care.
