Sun Mar Healthcare is currently looking for an experienced full-time RN MDS Consultant. Pay rate starts at $140,000 Annually and up, depending on experience! This position requires 90% travel to Los Angeles County and Northern California.
We’re a skilled nursing facility looking for dynamic associates to join our clinical team and provide our guests with a care experience that will change their lives!
Duties:
- Reports to Director of Clinical Reimbursement Specialist
- Reviews MDS documentation for accuracy and appropriateness; Audits resident’s chart to monitor that services match needs and documentation reflects categories for reimbursement
- Monitors PCC/TSI reports and PCC for accuracy of MDS coding.
- Monitors and assists with validation of Quality Measures report for accuracy of MDS coding.
- Assists with developing and presenting training materials for MDS training sessions.
- Monitors that facilities follow Medicare/Medicaid regulatory and guidelines.
- Participates in interviews MDS Coordinators.
- Assists nursing staff in improving MDS assessment skills through formal and informal training. Coordinates training and communication with Clinical Services staff as needed.
- Performs audits per company standards and policies to ensure appropriate levels of reimbursement.
- Remains abreast of regulatory change for Medicare/Medicaid reimbursement and communicates necessary information to appropriate personnel.
- Participates in developing and updating Medicare PPS policies and procedures.
- Collaborates with corporate and/or facility staff related to denial issues affected by the MDS.
- Works with facility, corporate and regional staff to assure appropriate levels of reimbursement.
- Monitors submission requirements according to Federal and State standards.
- Monitors to assure the complete and timely submission of MDS data according to Federal and State reimbursement requirements.
- Collaborates with the facility to keep them informed of new developments for Federal and State payment systems.
Requirements:
- Current RN License in state of California
- At least 1 year experience in MDS Consultant role in SNF
Job Type: Full-time
Pay: $140,000.00 - $160,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Healthcare setting:
Schedule:
Application Question(s):
- Will you be able to travel between Los Angeles County and Northern California?
Experience:
- Utilization review: 3 years (Preferred)
- Resident Assessment Instrument (RAI): 3 years (Preferred)
License/Certification:
Ability to Relocate:
- California: Relocate before starting work (Required)
Willingness to travel:
Work Location: On the road