Benedictine Health System

  • RAI RN MdS Coordinator

    Job Locations USA-MO-St. Louis
    Posted Date 1 month ago(4/17/2019 1:54 PM)
    Campus Name
    Nazareth Living Center
    Nursing Administration
    Position Type
    Specific Shift Times
    Scheduled Days of the Week
    Weekend Work Requirement
  • Overview

    The Reimbursement RAI MDS Manager is responsible for the coordination of the MDS and RAI process. 


    Maintains communication between payer, physician, family, resident, and team to capture all services delivery costs, including managed care contracts.  Analyzes services and interventions with team during course of treatment and makes necessary adjustments to improve outcomes and assure proper level of reimbursement.  Communicates with responsible party when Medicare and Medicaid coverage is no longer appropriate, and monitors resident’s chart to determine if continued coverage is needed.  Assists with ICD-9 and ICD-10 coding and sequencings.


    Qualifications Required

    • Current state licensure as a Registered Nurse (RN), in good standing.
    • Graduation from an accredited school of professional nursing.
    • Resident Assessment Coordinator certification (RAD-CT).
    • CRP certified.
    • Knowledge of current state and federal regulations governing long-term care facilities.
    • Current state licensure as a Registered Nurse (RN), in good standing.
    • Knowledge of RAI/MDS/Care Planning, Medicare, Private Insurers, and Medicaid processes.
    • Ability to assist with pre-admission information analysis that affects clinical reimbursement.
    • Effective communication skills.
    • Ability to maintain confidentiality (HIPAA).
    • Ability read, write and communicate in English.

    Qualifications Preferred

    • RAI/MDS/Clinical Reimbursement coordination experience.
    • Geriatric nursing or health care experience.
    • MatrixCare EHR experience.


    EEO/AA/Vet Friendly


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