PPS Coord/Nurse (RN)
Company: Elderwood at Amherst
Posted on: September 10, 2021
Join Our Team: Are you ready for a rewarding career? Join a
company that cares for you, too. Overview:
at Amherst is Hiring a FT PPS
Are you a nurse
with Medicare experience? Do you consider yourself an expert in
assessment and reimbursement methodology? We want to talk
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.
centrally located at 4459 Bailey Avenue, Amherst, NY
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.
NYS RUGs III case mix for Medicaid reimbursement.
occasional travel between facilities and Elderwood Learning
MDS Coordinator(s), if designated.
knowledge and understanding of all policies and procedures and
ability to reference them.
other duties as assigned by supervisor, management staff or
Professional Nurse with current license in state
of MDS/PPS scheduling, completion, coding and
verbal and written communication skills.
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.
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 exemption from vaccination.
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 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 , PPS Coord/Nurse (RN), Other , Tonawanda, New York
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