ReNew Health Consulting Services
Regional MDS Consultant - Skilled Nursing
ReNew Health Consulting Services, Monrovia, California, us, 91017
Regional MDS Consultant - Skilled Nursing
Join to apply for the Regional MDS Consultant - Skilled Nursing role at ReNew Health Consulting Services.
Renew Health Consulting Services is an award‑winning family company that provides healthcare services, including skilled nursing, assisted living, and senior living communities. We believe seniors are extraordinary individuals whose lives are enriched by achievements, community service, and wisdom. We are honored to support them as they transition into and thrive in their golden years, whether it’s through short‑term rehabilitation or long‑term nursing care. Each of our clinical programs is designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals—to return home or stay with us for their long‑term care needs.
Our commitment to a superior quality of life is evident in all of our centers. In our facilities, you’ll meet compassionate, professional team members dedicated to providing the utmost care and genuinely helping patients and the communities around them.
Compensation & Benefits
Growth and development opportunities within the medical industry.
Pay is market competitive and negotiable based on experience.
Full‑time employees eligible for comprehensive medical, dental, and vision insurance plans.
Full‑time employees eligible for tuition assistance.
401(k) plan.
Travel allowance.
The anticipated pay range for candidates working in California is $150K to $180K annually. The offered pay to a successful candidate will be dependent on several factors, including years of experience, industry experience, education, and more.
We are looking for a full‑time RN MDS Consultant Responsibilities
Visit facilities in the assigned region(s) regularly to ensure accurate and timely submission of patient assessments, care planning, and billing processes complying with the Patient‑Driven Payment Model (PDPM).
Conduct comprehensive assessments of patients’ clinical needs and identify potential PDPM coding opportunities.
Collaborate with interdisciplinary teams to develop patient‑centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM.
Analyze and organize PDPM and case mix data to ensure appropriate utilization of resources.
Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations.
Monitor and analyze PDPM‑related data—including patient outcomes, revenue, and compliance metrics—and provide regular reports to senior leadership.
Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation.
Maintain quality assurance of medical records for the presence of supporting documentation for all items coded on the MDS.
Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning.
Serve as a subject matter expert on PDPM with internal and external stakeholders, including regulatory bodies, payers, and auditors.
Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM.
Keep up‑to‑date knowledge of PDPM regulations and industry best practices and share this information with the facility and management.
Qualifications
Bachelor’s degree in nursing or a related clinical field.
Active RN license or relevant clinical licensure.
Experience with MDS completion preferred.
Minimum of 3–5 years of clinical experience in a healthcare setting.
Experience with federal Medicare skilled and long‑term care billing.
In‑depth knowledge of the PDPM reimbursement system and CMS regulations.
We are an equal‑opportunity employer committed to equal employment opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, or history of disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Business Development and Sales
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Renew Health Consulting Services is an award‑winning family company that provides healthcare services, including skilled nursing, assisted living, and senior living communities. We believe seniors are extraordinary individuals whose lives are enriched by achievements, community service, and wisdom. We are honored to support them as they transition into and thrive in their golden years, whether it’s through short‑term rehabilitation or long‑term nursing care. Each of our clinical programs is designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals—to return home or stay with us for their long‑term care needs.
Our commitment to a superior quality of life is evident in all of our centers. In our facilities, you’ll meet compassionate, professional team members dedicated to providing the utmost care and genuinely helping patients and the communities around them.
Compensation & Benefits
Growth and development opportunities within the medical industry.
Pay is market competitive and negotiable based on experience.
Full‑time employees eligible for comprehensive medical, dental, and vision insurance plans.
Full‑time employees eligible for tuition assistance.
401(k) plan.
Travel allowance.
The anticipated pay range for candidates working in California is $150K to $180K annually. The offered pay to a successful candidate will be dependent on several factors, including years of experience, industry experience, education, and more.
We are looking for a full‑time RN MDS Consultant Responsibilities
Visit facilities in the assigned region(s) regularly to ensure accurate and timely submission of patient assessments, care planning, and billing processes complying with the Patient‑Driven Payment Model (PDPM).
Conduct comprehensive assessments of patients’ clinical needs and identify potential PDPM coding opportunities.
Collaborate with interdisciplinary teams to develop patient‑centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM.
Analyze and organize PDPM and case mix data to ensure appropriate utilization of resources.
Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations.
Monitor and analyze PDPM‑related data—including patient outcomes, revenue, and compliance metrics—and provide regular reports to senior leadership.
Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation.
Maintain quality assurance of medical records for the presence of supporting documentation for all items coded on the MDS.
Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning.
Serve as a subject matter expert on PDPM with internal and external stakeholders, including regulatory bodies, payers, and auditors.
Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM.
Keep up‑to‑date knowledge of PDPM regulations and industry best practices and share this information with the facility and management.
Qualifications
Bachelor’s degree in nursing or a related clinical field.
Active RN license or relevant clinical licensure.
Experience with MDS completion preferred.
Minimum of 3–5 years of clinical experience in a healthcare setting.
Experience with federal Medicare skilled and long‑term care billing.
In‑depth knowledge of the PDPM reimbursement system and CMS regulations.
We are an equal‑opportunity employer committed to equal employment opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, or history of disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Business Development and Sales
#J-18808-Ljbffr