Sapphire Health Services, LLC
Clinical Reimbursement Specialist - MDS RN
Sapphire Health Services, LLC, Portland, Oregon, United States, 97204
Full-time
OVERVIEW: Sapphire Health Services specializes in providing comprehensive care and living solutions tailored to meet the diverse needs of seniors and individuals requiring specialized support. With a commitment to excellence and a passion for exceptional care, we offer a range of services designed to promote independence, dignity, and well-being at every stage of life. We are committed to enhancing the quality of life for our residents and pride ourselves on fostering a warm and supportive environment where personalized care is tailored to meet individual needs. Sapphire Health Services is currently seeking a dedicated team member to uphold our commitment to excellence.
JOB SUMMARY: The
Regional MDS Coordinator (RN)
provides oversight, guidance, and support to multiple skilled nursing facilities to ensure accurate, timely, and compliant completion of the Minimum Data Set (MDS) process. This role partners closely with facility leadership, MDS Coordinators, and interdisciplinary teams to support regulatory compliance, optimize reimbursement, and promote high-quality resident care.
RESPONSIBILITIES:
Provide regional oversight of the MDS process across assigned skilled nursing facilities.
Ensure MDS assessments are completed accurately and timely in accordance with CMS, Medicare, Medicaid, and state regulations.
Monitor compliance with RAI guidelines, PPS schedules, and care planning requirements.
Support facilities in survey readiness related to MDS and documentation practices.
Review and monitor PDPM accuracy and supporting documentation.
Identify opportunities to optimize reimbursement while maintaining regulatory compliance.
Analyze quality measures, Five-Star metrics, and clinical indicators impacted by MDS.
Assist facilities with corrective action plans related to MDS, audits, or survey findings.
Provide training, mentoring, and ongoing education to facility MDS Coordinators and interdisciplinary teams.
Support onboarding and competency development of new MDS staff.
Serve as a clinical resource for MDS-related questions and best practices.
Partner with DNSs, Administrators, Therapy teams, and Business Office staff.
Participate in IDT meetings as needed to support accurate assessments and care planning.
Communicate trends, risks, and recommendations to regional and corporate leadership.
Conduct routine MDS audits and documentation reviews.
Track and report compliance, trends, and performance metrics.
Assist with internal and external audits as required.
Performs other duties as assigned.
REQUIREMENTS:
Current RN license in the state of practice.
Experience in a skilled nursing facility or long-term care setting.
Previous MDS experience preferred.
Excellent assessment, documentation, and care planning skills.
Proficiency in using electronic health records (EHR) and MDS software.
Excellent communication and interpersonal skills.
Ability to travel between facilities as needed.
EMPLOYEE BENEFITS:
PTO
401(K)
Medical/Health Insurance
Dental Insurance
Vision Insurance
Birthday/Holiday Pay
Wellness Fund
Uniform Fund
Longevity Bonuses
Tuition Reimbursement
At Sapphire Health Services we are dedicated to creating a supportive and enriching environment for both our residents and our team members. If you are a passionate healthcare professional looking to make a difference in the lives of residents, we encourage you to apply!
Address: Portland, OR ABOUT US: Sapphire Health Services develops and manages care and living solutions including home care, independent living, assisted living, memory care, skilled nursing, and rehabilitation. Our focus is steadfast; to create living and care solutions that align with our mission to promote the highest quality of life for our residents, staff and communities.Sapphire supports ongoing training, tuition reimbursement, competitive wages and generous incentives to all of our employees.
- OUR MISSION: TO PROMOTE THE HIGHEST QUALITY OF LIFE FOR OUR RESIDENTS, STAFF AND COMMUNITIES. WE STRIVE TO TREAT THEM ALL WIT THE GREATEST CONSIDERATION AND RESPECT - #J-18808-Ljbffr
OVERVIEW: Sapphire Health Services specializes in providing comprehensive care and living solutions tailored to meet the diverse needs of seniors and individuals requiring specialized support. With a commitment to excellence and a passion for exceptional care, we offer a range of services designed to promote independence, dignity, and well-being at every stage of life. We are committed to enhancing the quality of life for our residents and pride ourselves on fostering a warm and supportive environment where personalized care is tailored to meet individual needs. Sapphire Health Services is currently seeking a dedicated team member to uphold our commitment to excellence.
JOB SUMMARY: The
Regional MDS Coordinator (RN)
provides oversight, guidance, and support to multiple skilled nursing facilities to ensure accurate, timely, and compliant completion of the Minimum Data Set (MDS) process. This role partners closely with facility leadership, MDS Coordinators, and interdisciplinary teams to support regulatory compliance, optimize reimbursement, and promote high-quality resident care.
RESPONSIBILITIES:
Provide regional oversight of the MDS process across assigned skilled nursing facilities.
Ensure MDS assessments are completed accurately and timely in accordance with CMS, Medicare, Medicaid, and state regulations.
Monitor compliance with RAI guidelines, PPS schedules, and care planning requirements.
Support facilities in survey readiness related to MDS and documentation practices.
Review and monitor PDPM accuracy and supporting documentation.
Identify opportunities to optimize reimbursement while maintaining regulatory compliance.
Analyze quality measures, Five-Star metrics, and clinical indicators impacted by MDS.
Assist facilities with corrective action plans related to MDS, audits, or survey findings.
Provide training, mentoring, and ongoing education to facility MDS Coordinators and interdisciplinary teams.
Support onboarding and competency development of new MDS staff.
Serve as a clinical resource for MDS-related questions and best practices.
Partner with DNSs, Administrators, Therapy teams, and Business Office staff.
Participate in IDT meetings as needed to support accurate assessments and care planning.
Communicate trends, risks, and recommendations to regional and corporate leadership.
Conduct routine MDS audits and documentation reviews.
Track and report compliance, trends, and performance metrics.
Assist with internal and external audits as required.
Performs other duties as assigned.
REQUIREMENTS:
Current RN license in the state of practice.
Experience in a skilled nursing facility or long-term care setting.
Previous MDS experience preferred.
Excellent assessment, documentation, and care planning skills.
Proficiency in using electronic health records (EHR) and MDS software.
Excellent communication and interpersonal skills.
Ability to travel between facilities as needed.
EMPLOYEE BENEFITS:
PTO
401(K)
Medical/Health Insurance
Dental Insurance
Vision Insurance
Birthday/Holiday Pay
Wellness Fund
Uniform Fund
Longevity Bonuses
Tuition Reimbursement
At Sapphire Health Services we are dedicated to creating a supportive and enriching environment for both our residents and our team members. If you are a passionate healthcare professional looking to make a difference in the lives of residents, we encourage you to apply!
Address: Portland, OR ABOUT US: Sapphire Health Services develops and manages care and living solutions including home care, independent living, assisted living, memory care, skilled nursing, and rehabilitation. Our focus is steadfast; to create living and care solutions that align with our mission to promote the highest quality of life for our residents, staff and communities.Sapphire supports ongoing training, tuition reimbursement, competitive wages and generous incentives to all of our employees.
- OUR MISSION: TO PROMOTE THE HIGHEST QUALITY OF LIFE FOR OUR RESIDENTS, STAFF AND COMMUNITIES. WE STRIVE TO TREAT THEM ALL WIT THE GREATEST CONSIDERATION AND RESPECT - #J-18808-Ljbffr