MDS Coordinator - $5K Sign On Bonus!
Location: Richmond, Virginia
Description: Clinical Resources LLC is at the momment seeking for MDS Coordinator - $5K Sign On Bonus! right now, this vacancy will be situated in Virginia. Further informations about this vacancy opportunity please read the description below. MDS COORDINATOR OPPORTUNITY
$5,000 SIGN ON BONUS!
Located in Richmond, VA, our client is seeking an MDS Coordinator / Resident Assessment Coordinator / Registered Nurse Assessment Coordinator ( RNAC ) / Clinical Reimbursement Coordinator for a well known long term care ( LTC ) / health care company. The candidate should be someone who is seen as a trusted leader in their field, as there is an immediate need for the right candidate who is in search of a competitive compensation plan. If you or someone that you know may be interested in this exciting health care opportunity please feel free to call us with any questions!
Our client prides itself on their experienced and professional staff and is committed to providing quality health care and service excellence, while treating their patients with the utmost dignity and respect. Come join a well respected team of health care professionals!
MDS Coordinator / Resident Assessment Coordinator / Registered Nurse Assessment Coordinator ( RNAC )
/ Clinical Reimbursement Position Summary:
The MDS Coordinator ( Minimum Data Set ) may also be referred to as a Resident Assessment Coordinator or a Clinical Reimbursement Coordinator ( CRC ). They are responsible to assure the implementation of policies and procedures pertaining to the Medicare and Managed care reimbursement in the long term care ( LTC ) / health care facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist. The Clinical Reimbursement Coordinator is also responsible for regulatory compliance and quality improvement efforts in order to attain appropriate Medicare or Managed Care reimbursement. Working collaboratively with health care / long term care ( LTC ) facility team members, the CRC ensures that services offered meet or exceed federal, state and company standards and serves as a role model for ethical business practices according to standards.
MDS Coordinator / Resident Assessment Coordinator / Registered Nurse Assessment Coordinator ( RNAC )
/ Clinical Reimbursement Duties:
The MDS Coordinator who is also a Registered Nurse will assist the Director of Nursing with ensuring that documentation in the center meets Federal, State, and Certification guidelines for long term care ( LTC ) facility The MDS Coordinator will coordinate the RAI process assuring the timeliness, and completeness of the MDS, RAPS, and Interdisciplinary Care Plan. RAI-MDS, RAPS, Care Plan Responsibilities Assures the completion of the RAI Process from the MDS through the completion of the plan of care Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the software system Follows up with staff when necessary to assure compliance to standards of documentation Collects data for each patient and interviews staff as necessary to assure good standard of practice and as instructed in the MDS 3.0 User's Manual Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs Provides interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS Assures that appropriate signatures are obtained as required Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the most recent version of the RAI User's Manual Assist DON or designee with identification of a significant change, physician orders and verbal reports to assure that the MDS and care plan are reflective of those changes Coordinates scheduling, notice of patient care planning conferences, and assures communication of outcomes/problems to the responsible staff, patient, and/or responsible party Ensures all MDS information and care delivered as outlined in the Care Plan is supported by documentation Assist the Administrator/Director of Nursing with the monitoring to ensure that a care plan is initiated on every patient upon admission to the health care / long term care ( LTC ) facility Participates in the daily stand-up meeting and communicates needs for changes in PPS Timelines and Assessment Reference Dates, and deficiencies in completion of MDS, RAPS, and Care Plans Relays and/or acts upon information from the Case-Mix Specialist audits Acts as resources person for computer issues that relate to the MDS process Responsible for ensuring appropriate Medicare coverage through regular communications with Corporate Medicare Operations Specialist if applicable Attends weekly Medicare or Utilization Review meeting as required Corrects and ensures completion of final MDS and submits patient assessment data to the appropriate State and Federal government agencies Assigns, assists, and instructs all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix Complete MDSs per schedule as required for Medicare, Managed care and OBRA schedules Provide updates as required per Managed Care contract guidelines Communicate promptly with facility team/regional consultant any issues or concerns Completion and issuance of denial letters, coordination of Medicare certification completion, review of skilled nursing documentation (including CNA documentation) to support skilled needs Manage Medicare appeals process, and participate in Administrative Law Judge hearings as needed Implement and participate in processes developed to appropriately maximize reimbursement Attend additional meetings; perform other duties as assigned for health care / long term care ( LTC ) facility
MDS Coordinator / Resident Assessment Coordinator / Registered Nurse Assessment Coordinator ( RNAC )
/ Clinical Reimbursement Qualifications:
Graduate of an approved Registered Nurse ( RN ) program Current Registered Nurse ( RN ) license in the state and credentials as required Prior experience in Medicare reimbursement and/or MDS experience required AANAC Certification preferred Knowledge of Managed Care reimbursement systems Word processing and computer skills Excellent oral and written communication skills Basic mathematic ability; ability to use calculator Knowledge of quality improvement process and ability to identify issues or trends and implement corrective action plans as needed Excellent attention to detail; well organized Ability to provide one-on-one or small group education related to identified areas of need
MDS Coordinator / Resident Assessment Coordinator / Registered Nurse Assessment Coordinator ( RNAC )
/ Clinical Reimbursement Job Requirements:
Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required Thorough understanding of the Quality Indicator process Knowledge of the OBRA regulations and Minimum Data Set Knowledge of the care planning process
“We invite you to view this opportunity and many other exciting positions on our company website at: http://www.clinicalresources.com/candidates.php. Click on this link and see “Career Opportunities" on the left side of the page!"
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If you were eligible to this vacancy, please send us your resume, with salary requirements and a resume to Clinical Resources LLC.
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This vacancy will be opened on: Wed, 08 Aug 2012 21:31:00 GMT
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