Clinical Reimbursement Specialist / MDS Coordinator (RN) - Cambridge Care Center
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Cambridge Care Center is known for providing rehabilitation, long-term care and behavioral health management. Through 24-hour nursing services, individualized care plans, and a daily range of engaging social and recreational activities, we work together with each individual who comes to our care community.
Cambridge Care Center offers a wide arrange of amenities for those in need of post-acute care, including several private rooms complete with flat-screen TV’s and phones for personal use.
Our management company, VIVAGE SENIOR LIVING, is a nationally recognized leader and innovator in the long-term care industry. VIVAGE SENIOR LIVING is dedicated to person-centered care and we embrace the Eden Alternative™ philosophy. We bring “quality of life in aging” and “living well” to Long Term Care!
Currently,Cambridge Care Community is seeking a Full Time CLINICAL REIMBURSEMENT/MDS COORDINATOR at their 72 bed skilled nursing community located in Lakewood, CO.
The primary responsibility of the CLINICAL REIMBURSEMENT/MDS COORDINATOR is to direct, coordinate and lead MDS Systems, Medicare A, Medicare B and all other insurance providers, as well as conduct care coordination for case management following the current federal, state and local standards, guidelines and regulations that govern long term care and assisted living facilities.
Incumbent is delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties to ensure appropriate reimbursement for services are provided within the Center.
- Graduate from an accredited school of nursing; current RN license in the State of Colorado preferred.
- Must have, as a minimum, three (3) years experience in an administrative supervisory capacity in a hospital or nursing facility.
- Maintains strong working knowledge of the Resident Assessment Instrument (RAI) Manual as well as complete the required courses for credentialing through the American Association of Nurse Assessment Coordinators and maintain certification thereafter.
- Be able to assess residents and relate information regarding resident’s condition.
- Must have knowledge of Medicare/Medicaid and insurance reimbursement procedures, contracts, clinical resource utilization and/or case management.
- Must have basic computer operation and typing skills for efficient data input; must be able to navigate touchscreen computers.
- Must have knowledge of office machines and equipment.
- Must be able to read, write, speak and understand the English language.
- Ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully when personnel, residents, family members, visitors, government agencies/personnel and the general public.
- Knowledgeable of nursing and medical practices and procedures as well as regulations and guidelines that pertain to long term care.
- Must have patience and enthusiasm, as well as, the willingness and ability to handle difficult residents.
- Open to new ideas and be willing to incorporate them into practice.
Cambridge Care Community is proudly a managed facility of
We are an Equal Opportunity Employer, Gender/Minority/Veterans/Disabled
No Agencies or Affiliates, please!