
MDS Specialist
Required skills
- MDS
- Medicare A
- Medicare B
- RN license
- LPN
- MDS experience
- criminal background check
- Colorado CAPS background check
- COVID Vaccine
Role summary
The MDS Specialist is responsible for directing, coordinating, and leading MDS Systems, Medicare A, Medicare B, and other insurance providers. This role involves conducting care coordination for case management in accordance with current federal, state, and local standards, guidelines, and regulations for long-term care and assisted living facilities. The incumbent ensures appropriate reimbursement for services by managing administrative authority, responsibility, and accountability for assigned duties.
WHAT WE'RE ABOUT
Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an organization that supports your growth?
Requirements:
You care.
MDS Specialist Perks:
- Generous Bonuses
- Daily Pay Advance Option Available
- Growth Opportunities
- Health Benefits
- 401K
MDS Specialist Summary:
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.
Essential Duties and 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.
Qualifications:
- 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
Benefits:
- Medical insurance with Rx benefits
- Dental Insurance
- Vision care
- 401k
- Paid vacation
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