Top 2 Regional mds Jobs in West Hartford, Ct

Regional Clinical Reimbursement Specialist
CareOne —East Longmeadow, MA
- $140,000 - $155,000 a year
- Nursing
- Skilled nursing facility
- RN License
- Commuter assistance
- Health savings account
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Director of Nursing (RN)
The Pines at Bristol Center for Health & Rehabilitation —Bristol, CT
- Full-time
- Skilled nursing facility
- RN License
- Customer service
- Retirement plan

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Regional Clinical Reimbursement Specialist

CareOne -
East Longmeadow, MA

Quick Apply

Job Details

$140,000 - $155,000 a year

Benefits

Commuter assistance
Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Skilled nursing facility experience
Medicare
Managed care
RN License
Managed care organization experience
Word processing
Word embeddings
Long-term care facility experience
Quality improvement
Productivity software
Managing patient records

Full Job Description

Balance Life & Work with a New Career Opportunity

(LONG TERM CARE)

(SHORT TERM REHAB)

(SKILLED NURSING)

(SUB ACUTE CARE)

NOW HIRING!! Regional Clinical Reimbursement Specialist Western/Central MA

Salary

$140,000. - $155,000 annually

Compensation will be based on, but not limited to, experience, qualifications, credentials and any other relevant information

The Regional Clinical Reimbursement Specialist/MDS plays a crucial role in ensuring the accurate and timely completion of the Minimum Data Set (MDS) assessments for residents in long-term care facilities. This position requires a keen understanding of medical records, clinical, documentation, and compliance with healthcare standards.

The RCRS will be responsible for regularly visiting up to 3-4 CareOne facilities as assigned based on geography.

Monitor compliance with the Monthly Billing Reconciliation process
Audit the completion and accuracy of MDS's and Care Plans per schedule as required for Medicare, Managed care and OBRA schedules
Ensure compliance with State, Federal, and SimpleLTC transmissions and facilitate modifications as needed
Facilitate and coordinate with other regional staff as needed
Communicate promptly to your supervisor and facility team/regional team any issues or concerns
Monitor/Audit the issuance of denial letters, coordination of Medicare certification completion, and nursing documentation to support skilled needs
Serve as a resource for the center staff for PDPM and state Medicaid reimbursement guidelines
Monitor the compliance of company processes developed to appropriately maximize reimbursement

Position Requirements:

Diploma and/or Degree from credentialed school of nursing. Currently licensed as a Registered Nurse in the state of practice
Minimum of 5 years of experience in long term care
Proven knowledge of quality improvement processes with an emphasis on Medicare, Managed Care and MA Casemix for Skilled Nursing facilities
Multi facility experience with management skills
Excellent oral and written communication skills
Word processing and related computer skills
Current licensing and credentials are required

Ideal candidates will possess the following:

Passing RAC-CT certification course within 90 days of employment, paid for by CareOne
2-4 Years' Prior experience in Medicare PDPM Reimbursement and/or MDS experience
General knowledge of Managed Care reimbursement systems
Excellent ability to work collaboratively with a cross functional healthcare team
Basic knowledge of Quality Measures
Knowledge of the 5 Star report

The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees.

We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees:

Comprehensive Healthcare Benefits
- Multiple Medical Plans
- - Including Pharmacy
  - Including Teladoc
- Multiple Dental Plans
- Vision Plan
- Health Savings Account (eligibility restrictions apply)
- Flexible Spending Accounts
- Voluntary Life and AD&D
- Short-Term and Long-Term Disability Plans
- Hospital Indemnity Insurance
- Critical Illness Insurance
- Accident Insurance
- Whole Life Insurance
- Medicare Employee Assistance
Legal Plan
Commuter Benefits
401k Retirement Plan
Employee Assistance Program (available to all employees)
Paid Time Off
- Vacation
- Sick Plans in accordance with state laws
Opportunities to advance and grow your career

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility!

We are an Equal Opportunity Employer

EEO/AA/M/F/DV

Quick Apply

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regional mds jobs in west hartford, ct

Regional Clinical Reimbursement Specialist

Director of Nursing (RN)

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