Orono Commons

Clinical Reimbursement Coordinator, RN

Orono, ME • Posted 1 months ago
Onsite Full Time Nursing - Clinical/Nurse Consultant
Overview:
Orono seeks full time, MDS/ clinical reimbursement coordinator.  Monday through Friday, on-call requirements, 8 hour shifts.  Experience in long term care preferred.
 
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities:
The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care.
 
*Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
*Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.
Qualifications:
*Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.
*At least one year of long-term care nursing experience is required.
Benefits:

*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

 

We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage

 

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $83,200.00 - USD $98,800.00 /Yr.

Additional Information

City
Orono
State
ME
Zip
04473
Country
United States
Job Type
Full Time
Posted At
2026-04-23
Job Reference
25419_46304
Mobile Friendly Apply
No
Category
Nursing - Clinical/Nurse Consultant
Html Jobs
Yes
Url
https://click.appcast.io/t/OoYd9hinT57xuUJr67NBtTvMMtgXthV3cekCnoAin1C4JJoCj6wVqtOIhnUchrTJ
Body
Overview: <div style="text-align: center;"><span style="color: #ff0000;">Orono seeks full time, MDS/ clinical reimbursement coordinator.  Monday through Friday, on-call requirements, 8 hour shifts.  Experience in long term care preferred.</span></div><div> </div><div>At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.</div> Responsibilities: <div><div>The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care.</div><div> </div><div>*Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.</div><div>*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.</div><div>*Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.</div></div> Qualifications: <div>*Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.</div><div>*At least one year of long-term care nursing experience is required.</div> Benefits: <div><p style="margin: 0px;">*Variable compensation plans<br />*Tuition, Travel, and Wireless Service Discounts<br />*Employee Assistance Program to support mental health<br />*Employee Foundation to financially assist through unforeseen hardships<br />*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off</p><p style="margin: 0px;">*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members</p><p style="margin: 0px;">*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned</p><p style="margin: 0px;"> </p><p style="margin: 0px;">We also offer several voluntary insurances such as:<br />*Pet Insurance<br />*Term and Whole Life Insurance<br />*Short-term Disability<br />*Hospital Indemnity<br />*Personal Accident<br />*Critical Illness<br />*Cancer Coverage</p><p style="margin: 0px;"> </p><p style="margin: 0px;">Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.</p></div><p style="margin: 0px;"><iframe id="editorembed" style="position: absolute; width: 0px; height: 0px; border: none; left: -1000px; top: -1000px;" tabindex="-1" title="Whatfix iframe - intentionally left blank" aria-hidden="true"></iframe></p> Posted Salary Range: USD $83,200.00 - USD $98,800.00 /Yr.
Cpa
15.65
Cpc
0.78
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