Clinical MDS Account Manager

🕒 July 6

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

👻 Ghost score 68%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Limitlessli

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Limitlessli is a company that specializes in providing offsite staffing solutions for healthcare facilities. They offer customized staffing services for clinical and non-clinical roles, aiming to reduce operational costs and enhance efficiency. With a focus on remote staffing, Limitlessli supports healthcare operations by ensuring compliance with CMS, DOH, and other regulatory agencies through their Active Review Protocols (ARPs™). They provide MDS consulting services and cater to a wide array of healthcare settings including skilled nursing facilities, home healthcare, urgent care centers, and telehealth, among others. Their solutions are designed to increase ROI, offer scalable staffing options, and minimize stress for their clients.

📋 Description

• Hold client relationships, communication, and reporting for assigned clients alongside the SVP of Clinical Reimbursement • Coordinate and oversee patient care plans with physicians, therapists, and nursing staff • Manage MDS assessments for timely and accurate submission under federal and state regulations • Review, monitor, and manage managed care authorizations • Participate in triple check processes to ensure billing, coding, and clinical documentation accuracy • Communicate with insurance providers, patients, and families about care plans and coverage • Monitor patient progress, outcomes, and transitions of care to reduce readmissions and optimize care quality • Maintain compliance with regulatory requirements, company policies, and professional standards • Provide staff education and training on managed care, MDS, and documentation standards • Assist with audits, reporting, and quality assurance initiatives

🎯 Requirements

• Current Licensed Practical Nurse (LPN) in good standing; state-specific license required • Minimum of 2+ years of experience in case management, utilization review, or related nursing role • Hands-on experience with MDS assessments • Knowledge of CMS guidelines • Knowledge and prior experience in managed care processes and insurance authorizations • Familiarity with triple check process for billing and reimbursement • Strong organizational, communication, and problem-solving skills • Ability to work independently and collaboratively in a fast-paced healthcare environment • Proficient in electronic medical records (EMR) systems and Microsoft Office Suite • Prior experience in long-term care, skilled nursing, or rehabilitation settings preferred • Working knowledge of Medicare/Medicaid reimbursement guidelines preferred • Certification in Case Management (CCM or ACM) a plus, but not required • Ability to work Philippines Time, Monday to Friday, 8am to 6pm • Reliable computer, noise-cancelling headset, second monitor, stable internet connection, and backup internet connection

🏖️ Benefits

• Remote work from home • Flexible remote working environment • Collaboration with an international team • Reliable computer and noise-cancelling headset required as work equipment • Second monitor for enhanced productivity • Stable internet connection and backup internet connection

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