RN or LPN MDS Nurse, RAC / $5000 Sign on Bonus!
Company: Green Park Senior Living Community
Location: Saint Louis
Posted on: January 14, 2021
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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
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