MDS Specialist RN

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    "ExternalDescriptionStr": "<p>Balance Life &amp; Work with a New Career Opportunity</p>\n<p>Now Hiring -<strong>&nbsp;Lead</strong> <strong>MDS/Clinical Reimbursement Coordinator&nbsp;-&nbsp;Whippany, NJ</strong></p>\n<p><strong>CareOne at Hanover</strong></p>\n<p><strong>Salary Range $83,000 to $120,000 (Full-time)</strong></p>\n<p>&nbsp;</p>\n<div style=\"border-width:0px;font-style:normal;font-weight:400;margin:0px;padding:0px\">\n <strong>Lead MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to:</strong>\n</div>\n<div style=\"border-width:0px;font-style:normal;font-weight:400;margin:0px;padding:0px\">\n &nbsp;\n</div>\n<ul>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   MDS/RAI Process Leadership:&nbsp;Direct the timely and accurate completion of the Minimum Data Set (MDS) and Care Area Assessments (CAAs) in strict compliance with CMS regulations.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   PDPM &amp; Reimbursement Strategy:&nbsp;Strategically schedule ARDs and audit clinical documentation to capture true resident acuity, optimizing PDPM components,&nbsp;nursing tiers, and NTA scores.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Quality Measure &amp; Five-Star Optimization:&nbsp;Analyze Casper reports and partner with the DON/IDT to monitor clinical triggers, drive root-cause corrections, and safeguard the facility's Five-Star rating.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Interdisciplinary Care Planning:&nbsp;Oversee the development of individualized resident Care Plans that support MDS coding, establish clear goals, and satisfy all regulatory requirements.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Utilization Review &amp; Triple-Check Coordination:&nbsp;Lead the weekly Utilization Review (UR) and Triple-Check meetings, collaborating with therapy, nursing, and the business office to validate medical necessity, track managed care authorizations, and ensure accurate billing alignment prior to transmission.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Audit Readiness &amp; Compliance:&nbsp;Systematically audit clinical records (MARs/TARs/physician orders) to defend data integrity against ADRs, MAC/RAC audits, and pre-payment reviews.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   IDT Collaboration &amp; Care Meetings:&nbsp;Facilitate interdisciplinary meetings to ensure seamless care integration and reimbursement alignment.\n  </div></li>\n</ul>\n<div style=\"border-width:0px;font-style:normal;font-weight:400;margin:0px;padding:0px\">\n <strong>Position Requirements:</strong>\n</div>\n<ul>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Licensure:&nbsp;Current, unrestricted Registered Nurse (RN) license in the state of practice.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   MDS Experience:&nbsp;1–3 years of dedicated MDS experience preferred; or an experienced LTC RN with strong clinical and analytical skills who can be trained.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Regulatory Expertise:&nbsp;Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term care regulations.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Clinical Knowledge:&nbsp;Strong understanding of general, rehabilitative, and restorative nursing practices, including comprehensive care planning.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Software Proficiency:&nbsp;Skilled in Microsoft Windows applications; experience with PointClickCare (PCC)&nbsp;and NetHealth&nbsp;is highly preferred.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Operational Skills:&nbsp;Exceptional attention to detail with a proven ability to complete assessments accurately and within strict regulatory deadlines.\n  </div></li>\n <li>\n  <div style=\"border-width:0px;margin:1em 0px;padding:0px\">\n   Autonomy &amp; Flexibility:&nbsp;Ability to work independently and adjust scheduling to support crucial month-end financial close procedures.\n  </div>\n  <div style=\"border-width:0px;margin:0px;padding:0px\">\n   &nbsp;\n  </div></li>\n</ul>\n<div style=\"border-width:0px;font-style:normal;font-weight:400;margin:0px;padding:0px\">\n &nbsp;\n</div>\n<p><br>\n &nbsp;</p>",
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We work to maintain the highest standards of care and service for Residents, families and our valued employees.</span></p>\n<p style=\"margin: 0in\"><span style=\"border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px\">&nbsp;</span></p>\n<p style=\"margin: 0in\"><span style=\"border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px\">We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees:</span></p>\n<div style=\"border: 0px; margin: 0px 0in; padding: 0px\">\n <br>\n</div>\n<ul style=\"margin-top: 0in; margin-bottom: 0in\">\n <li style=\"margin: 0in\">Comprehensive Healthcare Benefits</li>\n <ul style=\"margin-top: 0in; margin-bottom: 0in\">\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Multiple Medical Plans\n   </div></li>\n  <ul style=\"margin-top: 0in; margin-bottom: 0in\">\n   <li style=\"margin: 0in\">\n    <div style=\"border: 0px; margin: 0px; padding: 0px\">\n     Including Pharmacy&nbsp;\n    </div></li>\n   <li style=\"margin: 0in\">\n    <div style=\"border: 0px; margin: 0px; padding: 0px\">\n     Including Teladoc\n    </div></li>\n  </ul>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Multiple Dental Plans&nbsp;\n   </div></li>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Vision Plan\n   </div></li>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Health Savings Account (eligibility restrictions apply)\n   </div></li>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Flexible Spending Accounts&nbsp;\n   </div></li>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Voluntary Life and AD&amp;D\n   </div></li>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Short-Term and Long-Term Disability Plans\n   </div></li>\n  <li style=\"margin: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Hospital Indemnity Insurance\n   </div></li>\n  <li style=\"margin-right: 0in; margin-left: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Critical Illness Insurance\n   </div></li>\n  <li style=\"margin-right: 0in; margin-left: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Accident Insurance&nbsp;\n   </div></li>\n  <li style=\"margin-right: 0in; margin-left: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Whole Life Insurance&nbsp;\n   </div></li>\n  <li style=\"margin-right: 0in; margin-left: 0in\">\n   <div style=\"border: 0px; margin: 0px; padding: 0px\">\n    Medicare Employee Assistance\n   </div></li>\n </ul>\n <li style=\"margin: 0in\">\n  <div style=\"border: 0px; margin: 0px; padding: 0px\">\n   Legal Plan&nbsp;\n  </div></li>\n <li style=\"margin-right: 0in; margin-left: 0in\">\n  <div style=\"border: 0px; margin: 0px; padding: 0px\">\n   Commuter Benefits\n  </div></li>\n <li style=\"margin: 0in\">\n  <div style=\"border: 0px; margin: 0px; padding: 0px\">\n   401k Retirement Plan&nbsp;\n  </div></li>\n <li style=\"margin: 0in\">\n  <div style=\"border: 0px; margin: 0px; padding: 0px\">\n   Employee Assistance Program (available to all employees)\n  </div></li>\n <li style=\"margin: 0in\">Paid Time Off</li>\n <ul style=\"margin-top: 0in; margin-bottom: 0in\">\n  <li style=\"margin: 0in\">Vacation</li>\n  <li style=\"margin: 0in\">Sick Plans in accordance with state laws</li>\n </ul>\n <li style=\"margin: 0in\">\n  <div style=\"border: 0px; margin: 0px; padding: 0px\">\n   Opportunities to advance and grow your career\n  </div>\n  <div style=\"border: 0px; margin: 0px 0in; padding: 0px\">\n   <br>\n  </div></li>\n</ul>\n<p style=\"margin: 0in\"><span style=\"border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px\">&nbsp;</span></p>\n<p style=\"margin: 0in\"><span style=\"border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px\">If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility!</span></p>\n<p style=\"margin: 0in\"><span style=\"border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px\">We are an Equal Opportunity Employer</span></p>\n<p class=\"MsoNormal\" style=\"mso-margin-top-alt:auto; mso-margin-bottom-alt:auto\"><span style=\"border:none windowtext 1.0pt; mso-border-alt:none windowtext 0cm; padding:0cm\">EEO/AA/M/F/DV</span><span></span></p>\n<br>",
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