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Compliance Reimbursement Nurse (MDS) RN or LPN

None • Creve Coeur, MO, US • published 2026-10-04 01:41:21.072418

Description

At MGM Healthcare, we deliver the highest quality of care for every resident through our most valuable asset: you. We seek compassionate and thoughtful individuals who share our passion for exceptional care in senior living. MGM Healthcare partners with a vast network of skilled nursing centers across 2 states to support our small team environment of caring professionals with the resources and benefits of a large enterprise. Your legacy of excellence begins when you join us at MGM Healthcare. **Summary Description:** As the Compliance Reimbursement Nurse, they will play a crucial role in ensuring the accuracy and compliance of billing and reimbursement for the centers we support. **Essential Functions of Compliance Reimbursement Nurse:** * Possess a thorough understanding of all regulations and standards related to the RAI process (Federal regulations and MDS User Manual) * Remain knowledgeable of CMS coverage and payment methodologies, current Medicare/Medicaid regulations and documentation requirements. * Completes routine clinical review that thoroughly reviews resident’s medical records to verify that billing accurately reflects the care provided applying guidelines from the Me...

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