Registered Nurse (RN), Regional MDS Coordinator

RN Regional MDS Coordinator

CommuniCare Health Services is currently looking to fill the key position of RN Regional MDS Coordinator for its facilities in central West Virginia. This position requires a Registered Nurse with extensive MDS experience.

As the Regional MDS Coordinator, you will provide consultation, guidance, support, research, analysis, training, and expertise to attain business goals and quality outcomes in the delivery of care and services to our patients regardless of payer source. You will be responsible for multiple centers to evaluate and provide education, intervention, and support for the Resident Assessment Instrument (RAI) process, Federal and State regulations regarding reimbursement systems, and special contract reimbursement systems.

Job Responsibilities:

• Demonstrating knowledge of and interpreting applicable policies and procedures, State and Federal regulations, and interpreting changes to federal Medicare and Medicaid programs
• Providing comprehensive training for systems related to the patient assessment instrument, clinical software, Medicare reimbursement, Medicare coverage/eligibility requirements, State Medicaid reimbursement systems, and special contract systems
• Monitoring and supporting center reimbursement and clinical services
• Providing direction for the implementation of the case management process and providing on-going support as it relates to the program integrity
• Monitoring RAI process for accuracy and completeness to assure accurate, comprehensive patient assessment and reimbursement potential is reflected by medical record review, discussion, recommendation, documentation, and reporting
• Maintaining role of RN Resident Assessment Coordinator (RAC) when needed
• Recruiting and orienting new RACs as needed
• Establishing rapport and trust with regional and center teams, communicating concerns appropriately

Position Requirements:

• Registered Nurse license in primary state of residence
• Extensive MDS experience required.
• Regional experience preferred.
• Minimum of three (3) years of experience as a trainer in Medicare, Medicaid, RAI, and contract reimbursement systems preferred
• Multi-facility management experience preferred

Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 130 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 16,000 employees across several states. As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and is a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work, and families to heal.