Clinical Reimbursement Coordinator - LPN

@ Centers
Centerscenters.com

Clinical Reimbursement Coordinator - LPN

Follansbee, WV
Posted 2 days ago

About the job

A leading long-term care provider fostering a collaborative, inclusive work environment. Join us to improve patient well-being and advance your career in a supportive setting.

Requirements

  • LPN licensure in state
  • One year long-term care experience
  • Knowledge of Medicare/Medicaid
  • BLS/CPR certification

Qualifications

  • Graduated from accredited Nursing school
  • Experience with MDS and case management
  • Excellent communication skills

Full job description

Overview:
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities:
The MDS Coordinator is responsible for the coordination and completion of clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations.
*Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided. This will involve collaboration with the center interdisciplinary team.
*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
*Communicate with the Business Office Manager regarding case-mix data required for billing.
*Educate the interdisciplinary team on case-mix and the nursing staff in terminology, language, and format that is required by MDS
Qualifications:

*Must be a graduate of an accredited School of Nursing with current 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.

Benefits:

*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $33.00 - USD $38.00 /Hr.
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