Coordinator Jobs

About The Position

Requirements

• Must have a current LVN license
• Minimum of two (2) years nursing experience in skilled nursing facility preferred
• Excellent knowledge of RAI Process, 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 plan process

Responsibilities

• To assure resident safety
• Assist the facility in assuring adherence to federal and state regulations and certification
• Actively participates in the regulatory or certification survey process and the correction of deficiencies
• Report trends from completed audits to the Quality Assurance Committee
• 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/re-entry, and Medicaid tracking forms through the AHT system
• Follows up with staff when necessary to assure compliance to standards of documentation
• Collect data for each resident and interview staff and residents as necessary to assure a good standard of practice and as instructed in the MDS 3.0 User 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 an interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS
• Assures appropriate signatures are obtained as required; maintains staff signature logs
• Ensures that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manual
• Responds to change in conditions appropriately
• Coordinates scheduling notice of patient care planning conference 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 monitoring to ensure that a care plan is initiated on every patient upon admission to the center
• Participates in the daily Interdisciplinary Team meeting and communicates needs for changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA, and Care Plan
• Relays and/or acts upon information from the Clinical Reimbursement Specialist audits
• Acts as a resource person for computer issues that relate to the MDS process; contacts the help desk when indicated.
• Maintains proficiency in software programs
• Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical Reimbursement Specialist
• Sequence appropriate diagnosis coding for residents
• Corrects and ensures completion of final MDS and submits resident assessment data to the appropriate state and Federal government agencies in a timely manner
• Assigns, assist, and instructs all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required), and clinical computer system in relation to these processes
• Ensures timely submission of the MDS to the state with proper follow up on validation errors; maintains validation records from the submission process in a systematic and orderly fashion
• Maintains confidentiality of necessary information
• Maintains assessment on the active clinical record for at least 15 months
• Remains proactive with staying current on all industry changes
• Assist with OTG reviews, ADR's, RAC audits, etc. as needed with professionalism
• Coordinates monthly Triple Check meeting for Medical billing compliance
• Completes LTCMI timely on TMHP portal and communicates with BOM regarding payer changes to ensure no loss in Medicaid payment
• Utilize electronic medical record charting: point click care

Benefits

• 6 Holidays
• Life Insurance
• Short Term and Long Term Disability
• Health Plans
• Vision
• Dental
• Generous PTO
• DailyPay Available
• Much More