What are the responsibilities and job description for the MDS RN position at The McGuire Group?
MDS RN (REGISTERED NURSE)
Starting Rate: $37.00
Shift: Full-Time, Days
JOB DESCRIPTION:
Coordinates and monitors the facility's Medicare, Managed Care, and Medicaid revenue. Ensures residents receive optimal skilled services to meet needs for optimal independent function and potential discharge to the community. Monitors facility Quality Measures, identifies issues related to Quality Measures, and assists facility with any corrective actions needed to improve overall quality services. Educates facility staff on innovative procedures to optimize utilization and reimbursement through completing the MDS, care plan, and care guide process.
RESPONSIBILITIES:
- Provides education and assistance to facilities in Medicare/Medicaid-related areas, including eligibility, certification, coverage, documentation, utilization, and reimbursement.
- Interacts with Medicare, Managed Care, and Medicaid claims review unit and compliance unit to assist facilities in complying with company procedures and federal, state, and local regulations.
- Reports regularly to MDS Coordinator and administration on issues and activities.
- Completes and assesses compliance with Medicare, Managed Care, Medicaid, third-party payers, and company procedures.
- Gathers data to acquire accurate and timely completion of MDS 3.0 related to Medicare, Managed Care, and Medicaid.
- All other duties as assigned.
REQUIREMENTS:
- Registered Nurse in the State of New York
- Bachelor's degree preferred but not required
- Prefer experience in Medicare/Medicaid areas in long-term care or clinical training
- Must have excellent communication skills in both individual and group settings
- Capable of maintaining regular attendance
- Capable of performing all of the essential job functions of this position, with or without reasonable accommodations
- Basic to advanced computer knowledge, preferably with MDS 3.0, PCC e-MAR, and CMI reimbursement processes
