RN - MDS Coordinator
Elderwood
- Hamburg, Pennsylvania, United States
- Hamburg, Pennsylvania, United States
About
Oversees, reviews and/or completes the MDS/PPS components of the facility based MDS/PPS departments.
Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care.
Establishes the schedule for completion of the Medicare required assessments setting the completion date to maximize reimbursement and RUGs categories for each individual assessment.
Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare days in the facility.
Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided.
Apply today to our MDS Coordinator position and check out Elderwood's Benefits:
EARN 10% more with our Pay in Lieu of Benefits Program
Increased Tuition Reimbursement Program for Clinical Tracks
Shift Differentials
Full Benefits Package
401k PLUS Employer Matching
Employee Referral Program
Responsibilities RN - MDS Coordinator - Responsibilities:
Participates and collaborates with Medical Records and Therapy staff in preparing records for CMS andvarious entities for pre and post-pay record reviews, ADR requests and appeals processes.
Manages NYS RUGs III case mix for Medicaid reimbursement.
Completes occasional travel between facilities and Elderwood Learning Center.
Supervises MDS Coordinator(s), if designated.
Demonstrates knowledge and understanding of all policies and procedures and ability to reference them.
Performs other duties as assigned by supervisor, management staff or Administrator.
Qualifications RN - MDS Coordinator - Qualifications:
Licensed Professional Nurse (RN licensure preferred) with current license in state employed
Prior experience with MDS 3.0 scheduling, coding and submission requirements preferred
Experience with PointClickCare preferred
Experience with Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred
Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage
Excellent verbal and written communication skills.
Self-motivated, highly organized, and dedicated
Willing to train the right candidate
This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.
EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. Join our Talent Community! Join our Talent Communityto receive updates on new opportunities and future events. Posted Date1 month ago(5/4/2026 1:23 PM) Requisition ID2026-35542 of Openings1 Area of InterestNursing CompanyElderwood LocationElderwood at Hamburg Position TypeRegular Full-Time Shift8am - 4pm Salary$38.00 / hr - $53.30 / hr
Languages
- English
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