Job Details

WPA Staffing Solutions, LLC

RN Regional MDS Coordinator

RN Regional MDS Coordinator

Case Mix Specialist - Regional MDS Coordinator



Responsible to review Medicare/Medicaid documentation to assist nursing centers in completing MDS 3.0 documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement.
*This is one position traveling to the facility inthe mentioned cities.

Reviews MDS 3.0 documentation for accuracy and appropriateness; Audits residents chart to monitor that services match resident needs and documentation reflects categories for case mix reimbursement.
Monitors LTCQ reports for accuracy of MDS coding.
Monitors and assists with validation of Quality Indicator reports for accuracy of MDS coding.
Responsible for accuracy of MA Picture Date process for each assigned center.
Assists Director, Case Mix Reimbursement with developing training materials for quarterly MDS training sessions. Presents information at quarterly MDS training sessions.
Monitors that facilities follow Medicare/Medicaid regulatory andcompany reimbursement guidelines.
Assists nursing staff in improving MDS assessment skills through formal and informal training. Coordinates training and communication with Clinical Services staff as needed.
Performs audits per company and divisional standards and policies. Reviews required documentation tools; for example, RUG IV Billing Log, to ensure appropriate levels of reimbursement.
Monitors Corporate Compliance policies and notifies appropriate facility, regional, divisional, and corporate staff as needed.
Attends and participates as needed in regional meetings, scheduled in-service programs, staff meetings and other center meetings and sits on required committees.
Participates in assisting facility staff with interview of ADON of Clinical Documentation and MDS Coordinator.
Participates in developing and updating Medicare PPS and Case Mix policies and procedures.
Completes and maintains records and reports as required.
Coordinates and promotes work between departments; Maintains confidentiality of necessary information.
Collaborates with corporate and/or facility staff related to denial issues affected by the MDS.
Works with facility, corporate and regional support staff to assure appropriate levels of reimbursement.
Monitors submission requirements according to Federal and State standards.
Monitors to assure the complete and timely submission of MDS data according to Federal and State reimbursement requirements.
Collaborates with the facility to keep them informed of new developments for Federal and State payment systems.
Remains abreast of regulatory change for Medicare/Medicaid reimbursement and communicates necessary information to appropriate personnel.
Communicates and coordinates the resolution of facility issues through appropriate regional and corporate departments.
Performs any miscellaneous work assignments as may be required.

Educational Requirements
Graduate of an approved Registered Nurse program and RN licensed in the state of practice required.

Position Requirements

RN license required.
Three to five years previous MDS experience preferred; Strong management and interpersonal skills; Case Mix experience recommended; Computer literate and proficient with applications in the clinical area.

Skills and Certifications [note: bold skills and certification are required]
3-5 years of MDS experience
Security Clearance Required: No
Visa Candidate Considered: No


Full-time Benefits - Full

Interview Travel Reimbursed - Yes

Candidate Details
2+ to 5 years experience
Management Experience Required - No
Minimum Education - Bachelor's Degree
Willingness to Travel - Always

Screening Questions
Do you have 2-3 years of experience working with MDS?
Are you comfortable traveling 90% of the working week?

Ideal Candidate
Registered Nurse with 2-3 years of experience working with MDS. The individual would do well if he/she lived in CA.

A leading provider of short-term, post-hospital services and long-term care. With a network of nearly 500 skilled nursing and rehabilitation, memory care, assisted living, outpatient rehabilitation, hospice and home health care locations, we deliver patient-centered care throughout the United States.

You may apply directly via email to

Job Category: Healthcare / Medical [ View All Healthcare / Medical Jobs ]
Job Location: Citrus Heights, CA USA
Job Location Zip/Postal Code 95610
Posting Company Type Recruiter
Post Date: 02/08/2017 / Viewed 743 times
Contact Information
Company: WPA Staffing Solutions, LLC

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