Acute Care, Case Management, Communication Skills, Conferences, Documentation, Health Plan, Healthcare Reimbursement, ICD-10, Insurance, Licensed Practical Nurse/Licensed Vocational Nurse, Long-Term Care, Medicaid, Medical Coding, Medicare, Minimum Data Set, On Call, Organizational Skills, Presentation/Verbal Skills, Quality Metrics, Registered Nurse (RN), Standards of Care, Treatment Plan, Utilization Management, Writing Skills
Edenbrook Hamptonis a proud member of the Eden East Network, a leading provider of post-acute rehabilitation and long-term care. We are committed to delivering excellence in care through a holistic approach that nurtures the mind, body, and soul. Join our compassionate and dedicated team in making a difference in the lives of our residents and staff.
Position: Temporary/Interim MDS Coordinator
- NO on call
- NO floor Shift
- NO call rotation
- Monday–Friday schedule.
Schedule: We are open to both PART-TIME and FULL-TIME.
Timeframe: Immediate need through the end of May, with potential need to extend.
Looking for someone with MDS experience.
Candidates must be well-versed in MDS, RAI, and Clinical Reimbursement. Prior experience with Point Click Care (PCC) preferred.
Essential Duties and Responsibilities:
- MDS scheduling, set up and completion
- New admission authorizations, updates, communication with family/insurance providers, communication with case managers
- ICD 10 coding for all new admissions and continual updating for LTC population
- Participate in the implementation, updating and review of the resident care plan
- Attend/communicate with family’s and residents on current plan of care, insurance needs, and discharge needs – attend care conferences
- Educate IDT on needs of the MDS, Assessments and Skilled care service requirements
- Run Utilization Review Meetings and ensure PDPM scores and rates are validated
- Review and Educate IDT/Staff to ensure proper documentation is maintained
- Maintain Insight/Participation to facility Quality Measures and QAPI process
- Chart Reviews/Audits as needed
- Assist IDT during Survey process
Qualifications:
- Must hold an active LPN or RN license in the state of Pennsylvania.
- At least one year of MDS experience required.
- Strong knowledge of the MDS process.
- Strong knowledge of ICD 10 coding/coding guidelines, Medicare Chapter 8 Manual, RAI Manual
- Possesses good organization skills-
- Excel document, Teams, or Zoom platform experience a plus!
- Excellent in written and oral communication skills.
Keywords:
MDS, Reimbursement. RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE