RN​/LPN MDS Coordinator​/Clinical Reimbursement Experienced

Overview

Vantage Care, LLC is seeking RN/LPN for the MDS Coordinator / Clinical Reimbursement role. We are a growing team focused on delivering quality care.

Location:

Vantage Health & Rehab of New Bedford
200 Hawthorn Street, New Bedford, MA 02740

Casual Fridays and comprehensive benefits are available for eligible employees.

• Maintain the schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensure the accurate and timely submission of the MDS assessments, including case-mix, OBRA and PDPM required assessments.
• Perform concurrent MDS review to ensure appropriate HIPPS category is achieved through the capture of clinical information and identify opportunities to enhance reimbursement.
• Collaborate with facility staff to ensure accurate/complete documentation to support accurate coding of MDS assessments and prevent revenue recoupment on audits.
• Communicate case-mix data required for billing to the Business Office, such as HIPPS categories, modifiers, state case-mix scores, etc.
• Serve as the nursing center resource for MDS/HIPPS and state case-mix systems, providing staff case-mix education and instruction on MDS terminology and format.
• Ensure the development of accurate and resident-specific care plans to support quality of care and reimbursement.

• Must be a graduate of an accredited School of Nursing with current RN/LPN licensure in the state of employment.
• One year of long-term care clinical nursing experience is required.
• Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
• Must maintain current BLS/CPR certification (excluding ALFs/ILFs).

Vantage Care requires evidence of COVID-19 vaccination for all Vantage personnel and affiliates who will be present at a facility. Exemptions will be 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 not influenced 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.

• 401(k)
• Health
• Dental insurance
• Vision
• Life insurance
• Vacation
• Holidays
• Paid Sick Time