RN - PPS Coordinator

$62,400 - $101,400 / year

RN BONUS: $7,500

 

Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself knowledgable in assessment and reimbursement methodology?  We want to talk with you! Elderwood of Lakeside at Brockport is seeking a full time PPS Coordintator (RN). 

 

RN - PPS Coordinator Position Overview:

• 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.

Apply today to our PPS Coordinator position and check out Elderwood's Benefits:

• EARN 16% more with our Pay in Lieu of Benefits Program
• Increased Tuition Reimbursement Program for Clinical Tracks 
• Shift Differentials
• Full Benefits Package
• 401k PLUS Employer Matching
• Employee Referral Program

Are you looking for a new start? A great opportunity awaits with Elderwood!

RN - PPS Coordinator - 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.

RN - PPS Coordinator - Qualifications:

• Licensed Professional Nurse (RN licensure preferred) with current license in state employed
• Prior experience with MDS 3.0 scheduling, coding and submission requirements preferred
• Experience with PointClickCare preferred
• Experience with Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred
• Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage
• Excellent verbal and written communication skills.
• Self-motivated, highly organized, and dedicated
• Willing to train the right candidate

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.