StLouisRecruiter Since 2001
the smart solution for St. Louis jobs

RN or LPN MDS Nurse, RAC / $5000 Sign on Bonus!

Company: Green Park Senior Living Community
Location: Saint Louis
Posted on: January 14, 2021

Job Description:

Job DescriptionGreen Park Senior Living Community , a member of the CommuniCare Family of Companies, is currently recruiting for an RN or LPN MDS Nurse - Resident Assessment Coordinator to join our team. $5000 Sign on Bonus! PURPOSE/BELIEF STATEMENT: The RN / LPN RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process. Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. This includes ensuring that the centers are in compliance with federal and state regulations as well as the CommuniCare Family of Companies' guidelines and policies and procedures. This role serves as a key member of the facility's management team in helping the facility obtain/maintain quality outcomes. JOB DUTIES & RESPONSIBILITIES * MDS scheduling and completion per RAI guidelines including coordinating care plan development and completion with the interdisciplinary team * Develop an individualized, comprehensive resident care plan with the interdisciplinary team to ensure care area triggers are addressed * Ensure care plans are reviewed quarterly and updated as needed to reflect current resident status with individualized problems, goals, and interventions * Coordinate with other disciplines to ensure timeliness of assigned sections of MDS completion and report noncompliance to Executive Director * Signature of MDS sections V0200B comprehensive CAA completion and Z0500A MDS completion * Oversee clinical reimbursement and case management services within the center for Medicare A and B, managed care, insurance, and Medicaid (case mix) * Direct and oversee the implementation of the CommuniCare family of companies programs, policies, and procedures related to the RAI process to ensure appropriate care is rendered and appropriate reimbursement is obtained * Coordinate the timely and effective service delivery for all residents while ensuring quality clinical outcomes with appropriate reimbursement * Advocate on behalf of the resident and facility for needed resident resources and services * Provide education to other health care providers, the facility's care team, and the resident/family on Medicare, Medicaid (case mix), managed care, and MDS completion * Work as a liaison between the facility, the resident/family, rehabilitation, and other care providers * Oversee and monitor MDS documentation and charting requirements that support services provided to meet billing requirements including state specific requirements for supportive documentation * Provide oversight of the medicare and managed care residents, coordinate rehabilitation and optimal recovery, and assist with discharge planning * Oversee the validation of Medicare entitlement and eligibility for prospective residents * Complete chart audits to assess the quality of the documentation to support skilled Medicare, managed care, and Medicaid coverage * Oversee the completion of certifications/recertifications * Ensure Medicare part A and B services are appropriately billed and meet medicare documentation guidelines * Oversee the resource utilization of services covered under consolidated billing as well as ancillary costs * Direct the completion of requests for additional information claims requests and appeal for denied Medicare, managed care, and Medicaid claims * Possess knowledge of facility managed care contract coverage guidelines, outliers, and contracts to ensure care is provided and billed appropriately * Act as a liaison with the managed care plan provider to communicate resident needs while representing the interests of the facility and resident * Ensure compliance with federal and state regulations, as well as the CommunCare Family of Companies' policies and procedures regarding state specific case mix * Participate in facility meetings per policy * Oversee MDS accuracy and pertinent narrative data to support MDS assessment * Perform other duties as assigned * Conduct job responsibilities in accordance with the standards set in the code of conduct, policies and procedures, applicable federal and state laws, and applicable professional standards QUALIFICATIONS * Graduate of an accredited school of nursing; RN or LPN * Valid RN or LPN license in the state employed * Three years of experience in a long term care environment preferred * Experience with the MDS/RAI process and/or case management preferred Benefits As a CommuniCare employee you will enjoy competitive wages and PTO plans. we offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. we also offer 401(k) with employer match and flexible spending accounts. About Us A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes ski

Keywords: Green Park Senior Living Community, St. Louis , RN or LPN MDS Nurse, RAC / $5000 Sign on Bonus!, Healthcare , Saint Louis, Missouri

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Orthopedics - Ortho Travel Nurse RN
Description: Nationwide Travel Nurse Jobs - Orthopedic RN--- Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HealthCare Travelers
Location: Florissant
Posted on: 01/17/2021

Medical Support
Description: ABOUT Medical emergencies happen and we need people who can take charge when they do. Whether you're in a hospital or clinical setting, on a ship or submarine, or out in the field alongside fellow Sailors (more...)
Company: Navy
Location: Chesterfield
Posted on: 01/17/2021

ICU, MICU - Medical Intensive Care Units - Travel RN
Description: Travel Nurses Needed - RN Intensive Care Units br Nationwide Registered Nurse Travel Jobs br The Travel Nurse Season is here and it showsFind great travel assignments with the best in compensation (more...)
Company: RN Travel HealthCare Jobs
Location: Saint Peters
Posted on: 01/17/2021


Travel Registered Nurse RN Intensive Care unit ICU
Description: Intensive care unit ICU staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the
Company: One Staff Medical
Location: Florissant
Posted on: 01/17/2021

Travel TELE RN - Telemetry
Description: We currently have a client in Saint Peters, MO looking for a Telemetry Registered Nurse br br Focus Staff is seeking a traveling Telemetry RN to use different devices and technology to monitor patient (more...)
Company: Focus Staff
Location: Saint Peters
Posted on: 01/17/2021

Orthopedics - Ortho Travel Nurse RN
Description: Nationwide Travel Nurse Jobs - Orthopedic RN--- Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HealthCare Travelers
Location: Chesterfield
Posted on: 01/17/2021

Travel Nurse RN Pre-Op / Post-Op (PACU)
Description: Nationwide Travel Nurse Jobs - PACU / Pre-Op / Post-Op RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: Florissant
Posted on: 01/17/2021

Travel Speech Language Pathologist - $1,887 per week
Description: Club Staffing is seeking a travel Speech Language Pathologist for a travel job in Saint Peters, Missouri.Job Description Requirements ul li Specialty: Speech Language Pathologist li Discipline: (more...)
Company: Club Staffing
Location: Saint Peters
Posted on: 01/17/2021

RRT / CRT Respiratory Therapist - Travel Crisis Rates
Description: Respiratory Therapist RRT, CRT Locum Tenens Travel Assignments br Looking for that perfect Respiratory Therapist Job, this is the best resource. One quick More Info Request gets you in front of the (more...)
Company: HealthCare Traveler (Allied Health)
Location: Saint Peters
Posted on: 01/17/2021

Travel Speech Language Pathologist - $1,887 per week
Description: Med Travelers is seeking a travel Speech Language Pathologist for a travel job in Saint Peters, Missouri.Job Description Requirements ul li Specialty: Speech Language Pathologist li Discipline: (more...)
Company: Med Travelers
Location: Saint Peters
Posted on: 01/17/2021

Log In or Create An Account

Get the latest Missouri jobs by following @recnetMO on Twitter!

St. Louis RSS job feeds