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RN OR LPN MDS Coordinator Clinical Reimbursement Experienced

Vantage Care, LLC

MDS Coordinator / Clinical Reimbursement (RN/LPN) Location: Vantage Health & Rehab of New Bedford 200 Hawthorn Street, New Bedford, MA 02740 Responsibilities Maintain the schedule of all MDS assessments including reference dates and ensure timely submission of case‑mix, OBRA, and PDPM required assessments. Perform concurrent MDS review to ensure appropriate HIPPS category, capture appropriate clinical information, and identify opportunities to enhance reimbursement. Collaborate with facility staff to ensure accurate and complete documentation for coding of MDS assessments and prevent revenue recoupment from audits. Communicate case‑mix data required for billing to the Business Office including HIPPS categories, modifiers, state case‑mix scores, etc. Serve as the nursing center resource for MDS/HIPPS and state case‑mix systems, providing staff education and instruction on MDS terminology and format. Ensure development of accurate and resident‑specific care plans to support quality of care and reimbursement. Qualifications Graduate of an accredited School of Nursing with current RN or LPN licensure in the state of employment. Minimum one year of long‑term‑care clinical nursing experience. Knowledge of Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management highly desirable. Current BLS/CPR certification (excluding ALFs/ILFs). Benefits 401(k) Health insurance Dental insurance Vision insurance Life insurance Vacation Holidays Paid Sick Time Casual Fridays Vantage Care requires evidence of COVID‑19 vaccination for all personnel and affiliates present at a facility. Exemptions are provided in accordance with applicable federal and state laws. Vantage Care is an equal employment opportunity employer. All employment decisions are based on merit, qualifications, and competence and are not influenced or affected by race, color, religion, age, gender, national origin, ancestry, marital status, military status, veterans’ status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by federal, state, or local law. #J-18808-Ljbffr Vantage Care, LLC

Vacancy posted 6 hours ago
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