RN - PPS Coordinator/Registered Nurse
Company: Elderwood at Amherst
Posted on: January 5, 2022
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
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
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
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
- 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
- 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
- Knowledge of MDS/PPS scheduling, completion, coding and
- Excellent verbal and written communication skills.
- Demonstrated knowledge of state Medicaid program,
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
Keywords: Elderwood at Amherst, Tonawanda , RN - PPS Coordinator/Registered Nurse, Healthcare , Tonawanda, New York
Didn't find what you're looking for? Search again!