Managed Care Coordinator jobs in Clarksville, TN

Benefits of MDS Coordinator position:

• $5,000 Sign-On Bonus!!
• Competitive Pay
• Health Insurance
• Paid Time Off
• Great Work Environment
• 401k matched at 10%
• Paid Holidays
• Job location: Clarksville, TN

Spring Meadows Health Care Center is a skilled nursing home facility and takes pride in providing our residents with an amazing experience. We have an incredible tight-knit family of caregivers that serves our residents everyday with compassion, care and a positive attitude! We value and work hard to appreciate our caregivers because we recognize they are the foundation of our organization. We would love for you to join that family!

Summary

MDS Coordinator is responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payor program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team.

MDS Coordinator Job Duties

• Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement
• Determine potential Resource Utilization Groups (RUGs) and expense associated with a potential admission
• Review all applications for admission, followed by on-site or phone assessment and communicate results of assessment to the Admissions Director
• Complete and assure the accuracy of the MDS process for all residents
• Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations
• Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
• Facilitate problem-solving for complicated admissions
• Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission

MDS Coordinator Qualifications

• Preferred 2-years experience in MDS Coordinator role or related experience
• Current and valid state RN license
• Experience in a clinical or skilled nursing facility setting
• Deep medical terminology knowledge
• Excellent leadership skills
• Demonstrable knowledge of state and federal regulations
• Superb decision-making skills
• Proficiency in MDS 3.0