The McGuire Group Health Care Facilities ยท 3 months ago
MDS RN
The McGuire Group Health Care Facilities is seeking an MDS RN to coordinate and monitor Medicare, Managed Care, and Medicaid revenue. The role involves ensuring residents receive optimal skilled services and educating facility staff on procedures to optimize utilization and reimbursement.
Health CareMedicalRehabilitation
Responsibilities
Provides education and assistance to facilities in Medicare/Medicaid-related areas, including eligibility, certification, coverage, documentation, utilization, and reimbursement
Interacts with Medicare, Managed Care, and Medicaid claims review unit and compliance unit to assist facilities in complying with company procedures and federal, state, and local regulations
Reports regularly to MDS Coordinator and administration on issues and activities
Completes and assesses compliance with Medicare, Managed Care, Medicaid, third-party payers, and company procedures
Gathers data to acquire accurate and timely completion of MDS 3.0 related to Medicare, Managed Care, and Medicaid
All other duties as assigned
Qualification
Required
Registered Nurse in the State of New York
Must have excellent communication skills in both individual and group settings
Capable of maintaining regular attendance
Capable of performing all of the essential job functions of this position, with or without reasonable accommodations
Basic to advanced computer knowledge, preferably with MDS 3.0, PCC e-MAR, and CMI reimbursement processes
Preferred
Bachelor's degree preferred but not required
Prefer experience in Medicare/Medicaid areas in long-term care or clinical training
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
Company
The McGuire Group Health Care Facilities
The McGuire Group proudly operates five health care facilities across Western New York and one on Long Island.