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Uihlein SNF PPS Coord/Nurse in Lake Placid, New York

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Overview
Are you a nurse with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? We want to talk 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.
Responsibilities
* 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.
Qualifications
* 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.
Company Details
Elderwood of Uihlein at Lake Placid is a 156 bed skilled nursing facility (SNF) providing comprehensive, personalized orthopedic, cardiac and post-surgical rehab programs, including physical, occupational, and speech therapy. Our services include Subacute Care and Rehabilitation, Palliative Care, Respite Care and Seasons Memory Care.
Employee Perks!
EOE Statement
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.
* 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....

Employer's Job# 2020-13422
Please visit job URL for more information about this opening and to view EOE statement.

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