MDS Coordinator (RN) at Illuminus

Watertown, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

08 May, 26

Salary

0.0

Posted On

07 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Registered Nurse (RN), Skilled Nursing Facility Experience, Minimum Data Set (MDS), Clinical Reimbursement, Medicare Coverage Requirements, Assessment Accuracy, RAI Process Oversight, Electronic Medical Record (EMR), CPR Certification, Communication, Quality Outcomes, Confidentiality, Independent Judgment, Adaptability, HMO Authorization, Therapy Collaboration

Industry

Hospitals and Health Care

Description

Description We are seeking a registered nurse (RN) who has experience working in a skilled nursing facility to join our team. The Clinical Reimbursement specialist will oversee the nursing home assessment and submission of Minimum Data Set (MDS). If you are a highly motivated individual with a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We would love to meet you! Summary Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Will ensure center adheres to Medicare coverage requirements; such as certification, assessment, and advance beneficiary notice. Will oversee the Medicare meeting and provide direction to support process improvement. Will oversee and assure accuracy/quality of the MDS/RAI process, including scheduling, completion and content. Will be responsible to review 24 hr. report, physician orders, stand up meeting minutes daily, and monitor for any resident MDS/insurance coverage issues. Will manage all requirements to authorize coverage & continued stay from HMO, Insurance, and LTC Policies. Will maintain a strong working relationship therapy to determine assessment reference dates, insurance coverage criteria, and patient rehabilitative plan of care. Performs other duties, as assigned. Requirements Nursing Home Experience. Current license in good standing to practice in Wisconsin as a Registered Nurse. AANAC Resident Assessment Coordinator Certification Preferred. 4-5 years of experience in Minimum Data Set preferred. Ability to navigate and effectively utilize an Electronic Medical Record program. Current CPR certification. Commitment to quality outcomes and services for all individuals. Ability to relate well to all individuals. Ability to maintain and protect the confidentiality of information. Ability to exercise independent judgment and make sound decisions. Ability to adapt to change. Benefits Health (low to no cost), Dental, & Vision Insurance Flexible Spending Account (Medical and Dependent Care) 401(k) with Company Match Financial and Retirement Planning at No Charge Basic Life Insurance & AD&D - Company Paid Short and Long Term Disability - Company Paid Voluntary Ancillary Coverage Employee Referral Bonus Program. Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution) Paid Time Off and Holidays acquired from day one of hire. Employee Assistance Program Benefits vary by full-time, part-time, and PRN status. Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart, management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents—they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all. #IlluminusHQ

Responsibilities

The Clinical Reimbursement Specialist will oversee the nursing home assessment and submission of the Minimum Data Set (MDS), ensuring adherence to Medicare coverage requirements like certification and assessment. This role involves overseeing the Medicare meeting, assuring the accuracy and quality of the MDS/RAI process, and managing authorization for continued stay from various insurance policies.