Clinical Reimbursement Coordinator, RN
Required skills
- MDS
- Medicare
- Medicaid
- case-mix
- reimbursement
- RUG categories
- Registered Nurse
- RN
- long-term care
- nursing experience
Nice to have
- LPN
- MDS experience
Role summary
We are seeking a dedicated Clinical Reimbursement Coordinator, RN to join our long-term care team. This role is responsible for the accurate and timely completion of MDS assessments, reviewing care plans, and managing Medicare/Medicaid case-mix documents to ensure appropriate reimbursement. The ideal candidate will have at least one year of long-term care nursing experience and current RN licensure. LPNs with MDS experience may be considered. Join us in providing high-quality care and making a meaningful impact.
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities
The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care. *Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.*Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.
Qualifications
*Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.*At least one year of long-term care nursing experience is required.
Benefits
*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range
USD $43.00 - USD $47.00 /Hr.
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