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Clinical Reimbursement Coordinator - LPN

follansbee, WV

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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.

Worksite address

follansbee, WV, 26037, US

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