Exciting Billing and Reimbursement Leadership Opportunity Near Downtown Austin! Are you an experienced and dynamic nursing leader looking for a fresh start? We are currently seeking an exceptional MDS Nurse Coordinator to join our team just moments away from the vibrant heart of Austin. This role offers the exciting opportunity to lead and shape the billing and reimbursement department in a skilled nursing facility."
Responsibilities
- Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments.
- Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS
- Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information.
- Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers.
- Maintains current knowledge of reimbursement regulations.
Educational/Training Requirements
- Must be a graduate of an accredited school of nursing with current R.N. or L.V.N.
- ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations.
- Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy.
- Competency with standard office software applications as well as software applications related to MDS/RAI processes.
- Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable.
Job Type: Full-time
Pay: $73,000.00 - $92,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Tuition reimbursement
- Vision insurance
Schedule:
Experience:
- Utilization review: 1 year (Preferred)
- MDS / Care Management: 1 year (Preferred)
- Resident Assessment: 1 year (Preferred)
License/Certification:
Ability to Commute:
Ability to Relocate:
- Austin, TX: Relocate before starting work (Required)
Work Location: In person