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RN - PPS Coordinator/Registered Nurse

Company: Elderwood at Amherst
Location: Tonawanda
Posted on: January 5, 2022

Job Description:

This job is located in Amherst.Join Our Team: Are you ready for a rewarding career? Join a company that cares for you, too. Overview:Elderwood at Amherst is Hiring a Full Time PPS Coordinator!
The PPS coordinator is responsible for planning, developing and overall coordination of activities that support the Prospective Payment System (PPS) process for the inpatient rehabilitation unit.
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.
We are centrally located at 4459 Bailey Avenue, Amherst, NY 14226.
Employee Perks!: 401K Retirement Plan with Company Match, Clean, Neat & Newly Renovated Facility, Close to thruway entrances/exits, Conveniently located on a bus route, Employee of the Month recognition, Enjoy being a part of a strong and diverse team, Free On-Site Parking, Free Uniforms, Friendly and supportive staff, Generous PTO & holiday package, Increased Wages, Life Insurance, Medical, Dental, and Vision insurance, Monthly employee appreciation events, NEW Weekly Pay Schedule!, Point-earning employee reward program: redeem for prizes!, Quiet suburban neighborhood, Strong leadership, Substantial employee referral program, Truly make a difference in our residents' lives while providing top notch care, Tuition reimbursement program 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.
      Elderwood expects all current and new employees to be vaccinated against COVID-19. If hired, you will be required to provide proof of vaccination. Employees may request a medical or religious exemption from vaccination.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.

Keywords: Elderwood at Amherst, Tonawanda , RN - PPS Coordinator/Registered Nurse, Healthcare , Tonawanda, New York

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