Top 12 Regional mds Jobs in Grapevine, Tx

REGIONAL CLINICAL REIMBURSEMENT SPECIALIST - SOUTH CENTRAL TEXAS
INNOVATIVE NURSE CONSULTING LLC —Dallas, TX
- Nursing
- Management
- RN License
Regional MDS Coordinator
Tootsi Roll Nursing Centers —Dallas, TX
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Regional MDS
OPCO Skilled Management —Denton, TX
- Full-time
- Nursing
- RN License
- Nursing home
- Health insurance
- Dental insurance
Quick Apply
Regional Nurse Consultant **Skilled Nursing experience**
HMR Veterans Services Inc —Dallas, TX
- Full-time
- Nursing
- Skilled nursing facility
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
9d
MDS Nurse Traveler
INNOVATIVE NURSE CONSULTING LLC —Dallas, TX
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Regional Director Of Operations
Abode Care Partners —Dallas, TX
- Full-time
- Skilled nursing facility
- Administrative experience
- Supervising experience
- Paid time off
4d
Medical Licensing Specialist (Contract)
Galileo —Dallas, TX
- $25 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
- Continuing education credits
Quick Apply
8d
Field Clinical Reimbursement Coordinator
Avir Trilogy —Dallas, TX
- Full-time
- Skilled nursing facility
- LVN
- RN License
Quick Apply
3d
Director of Clinical Reimbursement & Revenue Optimization
Buckner Retirement Services —Dallas, TX
- Full-time
- Nursing
- RN License
- 5 years
12d
Director of Clinical Reimbursement & Revenue Optimization
Buckner International —Dallas, TX
- Full-time
- Nursing
- RN License
- 5 years
12d
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Dallas, TX
- Full-time
- Nursing
- RN License
- Administrative experience
- Tuition reimbursement
10d

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MDS Coordinator - Cross Timbers
Nexion Health, Inc. —Flower Mound, TX
LPN/LVN or RN license required. Coordinates and completes comprehensive resident assessments (MDS) and ensures accuracy and timeliness of assessment data.
Quick Apply
MDS NURSE LVN/RN
PMG OPCO - CARROLLTON LLC —Carrollton, TX
Must possess a current, unencumbered, active license to practice as an LPN/LVN or RN in this state. Must possess the ability to plan, organize, develop,…
5d

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Regional MDS Coordinator
PACS —Alexandria, OH
Key responsibilities include providing oversight on facilities' weekly PDPM meetings, tracking and monitoring the effective utilization of PDPM tools, creating…
$90,000 - $105,000 a year
Quick Apply
3d

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REGIONAL CLINICAL REIMBURSEMENT SPECIALIST - SOUTH CENTRAL TEXAS

INNOVATIVE NURSE CONSULTING LLC
Dallas, TX

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Job Details

Qualifications

RN License

Full Job Description

Regional Clinical Reimbursement Specialist

As a Regional Clinical Reimbursement Specialist, you will travel daily to facilities in your Region to promote, plan, organize, develop, coordinate, and direct our facility teams in support of Clinical Reimbursement in accordance with State and federal regulatory requirements and our company’s established policies and procedures to assure that the highest degree of quality resident care and safety be maintained.

You will work under the direction of the Director of Clinical Reimbursement and be responsible for the executive oversight of the administration, clinical planning, development, and operations of the MDS program. This position supports regional and facility employees in all aspects of care management.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Medical records review utilizing clinical and regulatory knowledge to determine required supporting documentation
Clinical nursing review of patient records for compliance with facility practices and procedures as directed
Flexibly manage tasks to meet deadlines by re-prioritizing workflows in a production-oriented setting
Employ critical thinking to identify/resolve issues and provide timely feedback regarding medical review processes
Develop appeal arguments using clinical evidence, supporting references/regulations, and participate in appeal hearings by providing testimony, as required
Determine regulatory and clinical support for appeal arguments when pre-existing resources are unavailable
Proficiently review and synthesize abstract information from handwritten/electronic medical records to support claims
Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Director of Medical Records.
Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Director of Medical Records.
Report any known or suspected unauthorized attempt to access facility’s information system to Director of Medical Records.
Attend and participate in mandatory in-service training programs, workshops, seminars, etc., as approved / delegated.

EDUCATION:

Must be a graduate of an accredited school of nursing, currently registered with a state agency for nursing licensure, and hold a valid license in the state he/she is employed.

QUALIFICATIONS/EXPERIENCE:

Experience in geriatric/long-term care nursing documentation, Minimum Data Set (MDS) coding, and/or medical necessity reviews/appeals. Working knowledge of regulatory and payer requirements for reimbursement and reason(s) for denial of claims for Medicare, Medicare Advantage, or Medicaid.

Completion of continuing education on subjects related to case management, regulatory requirements, restorative nursing, medical records documentation, legal aspects of documentation, reimbursement, and compliance.

SKILLS/COMPETENCIES

Analytical - Synthesizes complex or diverse information using experience and judgement to complement data
Problem Solving – Identifies/resolves problems in a timely manner; develops solutions; works well in group problem solving situations
Communication – Speaks/writes clearly and informatively; listens and gets clarification; responds well to questions; demonstrates group presentation skills, edits work for spelling and grammar; varies writing style to meet needs
Quality - Demonstrates accuracy and thoroughness; excellent attention to detail with a critical eye to catch/correct mistakes and errors; applies feedback to improve performance; monitors own work to ensure quality
Character - Demonstrates integrity in every aspect of work and dealing with others; consistently models desired behaviors and values established by the company; respects diversity of perspective in discussions and demonstrates an inclusive style; demonstrates concerns for job safety for self and others
Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values
Dependability - Follows instructions and responds to management direction; takes responsibility for own actions; keeps commitments and completes tasks on time or notifies appropriate person with an alternate plan

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regional mds jobs in grapevine, tx

REGIONAL CLINICAL REIMBURSEMENT SPECIALIST - SOUTH CENTRAL TEXAS

Regional MDS Coordinator

Regional MDS

Regional Nurse Consultant Skilled Nursing experience

MDS Nurse Traveler

Regional Director Of Operations

Medical Licensing Specialist (Contract)

Field Clinical Reimbursement Coordinator

Director of Clinical Reimbursement & Revenue Optimization

Director of Clinical Reimbursement & Revenue Optimization

Dialysis Clinical Manager Registered Nurse - RN

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