What are the responsibilities and job description for the MDS RN position at Taconic Rehabilitation and Nursing at Hopewell?
MDS RN
SHIFT: Full-Time
JOB SUMMARY:
The MDS RN coordinates Medicare, Managed Care and Medicaid activities at the facility. Educates Administrator
and facility staff on innovative procedures to maximize utilization and reimbursement through the completion of
the MDS, care plan and care guide process. Supervises LPN MDS work and cosigns any MDS completed by an
LPN.
- Provides education and assistance to facilities on Medicare/Medicaid related areas including eligibility,
certification procedures and follow-up of problem areas.
- Interacts with Medicare, Managed Care and Medicaid claims review unit and compliance unit to assist a
to administration on issues and activities. Interacts with the Medicare and managed Care intermediares
in areas of coverage and documentation. Assists in review and preparation of denied claims or
administrative record reviews by outside intermediaries.
- Completes and assesses compliance with Medicare, Managed Care, Medicaid and third party payers and
situation. Participates with any outside reimbursement audits to acquire first-hand knowledge of areas
that might lead to system failures.
- Establishes and maintains current statistical data associated with the Medicare, Managed Care and
i.e. therapies, utilization review. Reviews and maintains Medicare, Managed Care and Medicaid
reference materials.
- Monitors and identifies utilization issues. Establishes systems and programs to maximize utilization and
payment and provision of services.
- Provides ongoing orientation and training to appropriate facility staff regarding the Medicare, Managed
reimbursement program.
- PDPM reviews upon admission or re-admission or as indicated
- Review of MDS completion for Medicare A MDS’ for compliance and accuracy
- Gathers documentation for CMS audit requests and other audits as indicated
- Reviews physician documentation for accurate ICD 10 coding, assisting to set and rank diagnosis for new
- MDS Integrity reviews as indicated.
- MDS completion as needed
- Other duties as assigned
REQUIRED SKILLS & ABILITIES:
- Demonstrates experience in reimbursement, PDPM and quality measures as associated with the
- Demonstrates excellent time management and organization skills
- Proven ability to lead and inspire teams, fostering a culture of excellence and continuous
- Excellent communication, interpersonal and problem-solving skills
- Ability to effectively manage multiple priorities and meet deadlines
- In-depth knowledge of regulatory requirements and standards of care in long-term care settings.
QUALIFICATIONS:
Education: Minimum: Associates degree in Nursing
Preferred: Bachelor’s degree in Nursing
Experience: Minimum: 2 years of Long-Term Care Experience
Preferred: 4 years of long-term care experience
Licensure: NYS Licensed Registered Nurse (RN) current, unrestricted licensure
Certification: RAC-CT certification preferred
Benefits:
- Paid Time Off (PTO)
- Health, Vision, and Dental Insurance
- Life Insurance
- Referral Bonus Program
- Tuition Support
- Weekly or Same Day Pay Options
- Supportive Work Environment
Apply today to be part of a team committed to delivering excellent care while supporting operational excellence in a friendly and collaborative environment
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
