Float MDS Coordinator

Job description

Overview The SC RN-Clinical Reimbursement Coordinator Float is responsible for assigned resident’s MDS/RAI care plan implementation, completion, transmission, and auditing through the Triple Check process. The RN-Clinical Reimbursement Coordinator Float is responsible for coordination of clinical payment programs including the Quality Reporting Program, the Value Based Purchasing program and when applicable, community participation in incentive payment program initiatives. Responsible for case mix review in determining reimbursement case mix levels. Effectively interacts with residents, family members and other health team members, while maintaining standards of professional nursing to assure resident safety. Provides MDS scheduling back up to the Clinical Reimbursement Manager, when applicable. Responsibilities: - Participate in interdisciplinary Clinical Reimbursement meetings as delegated to gather information necessary for the development of the care plan and to ensure the insurer requirements for documentation are met. - Prepare or assist in the preparation, implementation and scheduling of each resident’s MDS, CAA analysis and care plan. - Assist the Rehabilitation Services,...