Clinical Reimbursement Coordinator, RN

Grand Islander RI and V2U
Middletown, RI, 02842, USA
  • Healthcare
  • Full-time
Our job summary
High earning potential with variable comp and comprehensive benefits. MDS Coordinator / Clinical Reimbursement Coordinator (RN). Full-time, on-site long-term care role managing MDS assessments and Medicare/Medicaid case-mix reimbursement. Location: Genesis Healthcare nursing center. Permanent position; schedule typical nursing shifts. - Current RN licensure (LPN with MDS experience considered) - ≥1 year long-term care nursing experience - Experience with MDS assessments, RUG/PDPM coding, and interdisciplinary care planning - Ability to manage Medicare/Medicaid case-mix documentation - Strong clinical documentation and communication skills
Full description
Overview: At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care. Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center. Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories. Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement. Qualifications: Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered. At least one year of long-term care nursing experience is required. Benefits:

Variable compensation plans
Tuition, Travel, and Wireless Service Discounts
Employee Assistance Program to support mental health
Employee Foundation to financially assist through unforeseen hardships
Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

On-Demand Pay Program that allows for instant access to a portion of the money you've already earned

We also offer several voluntary insurances such as:
Pet Insurance
Term and Whole Life Insurance
Short-term Disability
Hospital Indemnity
Personal Accident
Critical Illness
Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $100,000.00 - USD $105,000.00 /Hr.

Location restriction