MDS LPN

MDS LPNSalaried: $66,560 - $68,640 annually (depending on experience) Equivalent Hourly: $32 - $33/hour Shift: Full-Time Schedule: DaysGarden Gate Health Care Facility is looking to add an MDS LPN to its team. In this role, you'll support Medicare, Managed Care, and Medicaid reimbursement processes while helping ensure accurate MDS completion, regulatory compliance, and reimbursement optimization. If you have experience with MDS, PDPM, and long-term care reimbursement, this could be the perfect opportunity for you.Located in Cheektowaga, NY, Garden Gate Health Care Facility is proud to be part of The McGuire Group, a recognized leader in skilled nursing, rehabilitation, and long-term care services throughout New York State. Our team is dedicated to creating a welcoming environment where residents, families, and employees feel valued and supported. With a strong focus on compassion, teamwork, and resident-centered care, Garden Gate offers a rewarding opportunity to grow your career while making a meaningful difference in the lives of others every day.RESPONSIBILITIES:Provide education and support to facility staff regarding Medicare, Medicaid, Managed Care, eligibility, certification, coverage, documentation, utilization, and reimbursementAssist facilities with certification procedures, reimbursement-related processes, and resolution of problem areasCollaborate with claims review units, compliance teams, and third-party payers to ensure regulatory and company complianceAssist with the review and preparation of denied claims, audits, and administrative record reviewsMonitor reimbursement compliance and establish systems to address areas of non-complianceMaintain and analyze reimbursement-related statistical data and utilization trendsMonitor authorizations and compliance with third-party payer requirementsProvide ongoing education and training related to reimbursement programs and regulatory changesComplete PDPM reviews upon admission, re-admission, or as indicatedReview Medicare Part A MDS assessments for accuracy and complianceGather documentation for CMS audits and other reimbursement-related auditsReview physician documentation and assist with accurate ICD-10 coding and diagnosis rankingConduct MDS integrity reviews and complete MDS assessments as neededPerform additional duties as assignedREQUIREMENTS:Minimum education requirement: Graduate of an LPN Vocational Program; Bachelor's Degree in Nursing preferredMinimum experience requirement: 2 years of long-term care experience; 4 years of long-term care experience preferredCurrent unrestricted NYS Licensed Practical Nurse (LPN) License requiredExperience with MDS, PDPM, reimbursement, and quality measuresStrong understanding of Medicare, Medicaid, Managed Care, and third-party payer requirementsExcellent time management, organizational, and problem-solving skillsStrong communication and interpersonal abilitiesAbility to manage multiple priorities and meet deadlinesKnowledge of long-term care regulations, reimbursement methodologies, and standards of careAbility to provide education, training, and support to interdisciplinary teamsBENEFITS:Paid Time Off (PTO) for Full-Time and Part-TimeWeekly or Same-Day Pay OptionsHealth, Dental, and Vision InsuranceLife InsuranceEmployee Referral Bonus ProgramRetirement Saving OptionsEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.