RN MDS Manager

Job Description

Eklego is proud to be leading an RN MDS Manager search for the Jewish Home of Rochester! We are seeking a dedicated and compassionate RN MDS Manager for their 88-bed, Short-Term Rehab operation.

According to US News & World Report, The Jewish Home was named as a U.S. News Best Nursing Home for both long-term care and short-term rehab, only 19% of skilled nursing facilities nationwide earned this distinction! They are also certified as a Great Place to Work. Come be a part of a team with a consistent 5-star rating.

Eklego partners with choice organizations committed to hiring qualified and compassionate staff, and Eklego partners with YOU, as a healthcare professional, to find a workplace that best fits your priorities! This direct hire opportunity offers:

Fun, friendly, family-like atmosphere!

The resources and team support needed to be successful.

Competitive pay and outstanding benefits. $10,000 Sign-On Bonus!

The RN MDS Manager plays a critical role in overseeing reimbursement processes for skilled nursing services, ensuring compliance with state and federal regulations. Supervises a team of MDS Specialists, this position requires a strong clinical background, expertise in Medicare, Medicaid, Managed Care, and PDPM reimbursement methodologies, excellent analytical skills and effective communication skills.

What will I do?

Oversight and supervision of MDS Specialists resulting in a high functioning team.

Evaluate and determine Medicare and continued Medicare coverage for both new and readmitted residents, utilizing current criteria and protocol. Monitors residents for skilled level of care.

Completes MDS assessments according to RAI guidelines assuring the availability of supporting documentation that will accurately capture acuity both from internal and external sources.

Work closely with the rehab clinical team to ensure assessments scheduled maximize acuity.

Regularly audit for compliance with Medicare regulations and MDS accuracy.

Possess working knowledge of all QMs, QRP, and VBP.

Coordinates and communicates pertinent information to appropriate departments to maximize reimbursement and to ensure regulatory compliance.

Serve as a resource for staff in all aspects of skilled services eligibility guidelines, reimbursement maximization, and accuracy of MDS 3.0 completion.

Member of the Quality Assurance Performance Improvement (QAPI) Committee

What do I need for this role?

Current NYS Registered Nurse (RN) License.

Resident Assessment Coordinator-Certification (RAC-CT) preferred.

Working knowledge in PDPM, MDS, ICD-10 coding, Medicare/Medicaid/Managed Care reimbursement.

Strong analytical skills, attention to detail, and ability to interpret complex regulations.

We are an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, gender, national origin, age, marital or veteran status, disability or any other legally protected status, including genetic information.

Full-time