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Elderwood/Pediatric/PostAcute/Woodmark PPS Coordinator (RN) - Registered Nurse in Cheektowaga, New York

Put the CARE back in CAREER - Join our team today!

Are you a nurse with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? Our Director of Nursing wants to speak with you!

Our PPS Coordinator/RN at Elderwood oversees, reviews and/or completes the MDS/PPS components of the facility based MDS/PPS departments. Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care. Establishes the schedule for completion of the Medicare required assessments setting the completion date to maximize reimbursement and RUGs categories for each individual assessment. Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare days in the facility. Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided.

This is a DAY position. Flexibility with schedule can be discussed.

  • Participates and collaborates with Medical Records and Therapy staff in preparing records for CMS andvarious entities for pre and post-pay record reviews, ADR requests and appeals processes.

  • Manages NYS RUGs III case mix for Medicaid reimbursement.

  • Completes occasional travel between facilities and Elderwood Learning Center.

  • Supervises MDS Coordinator(s), if designated.

  • Demonstrates knowledge and understanding of all policies and procedures and ability to reference them.

  • Performs other duties as assigned by supervisor, management staff or Administrator.

  • Registered Professional Nurse with current license in state

  • Knowledge of MDS/PPS scheduling, completion, coding and

submission requirements.

  • Excellent verbal and written communication skills.

  • Demonstrated knowledge of state Medicaid program, Medicare/PPS

program, Managed Care programs, RUGs III and RUGs IV

classification and reimbursement systems, Part A coverage

guidelines and documentation requirements.

  • State PRI Assessor Number preferred.

Elderwood at Cheektowaga is a 172 bed skill nursing facility (SNF) offering a unique campus setting. This campus also includes an assisted living facility and an independent living community. We offer comprehensive, personalized orthopedic, cardiac, and post-surgical rehab programs, including physical, occupational, and speech therapy. Specialty Programs include Oncology, SMARTS Express Care, Wound Care, Palliative and Respite Care and Seasons Memory Care.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Requisition ID: 2020-13970

Street: 225 Bennett Road