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RN Coordinator Medical
2 months ago
Diversity, Equity, and Inclusion are at the heart of Cantex. The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.
A current, valid Texas nursing license is required (RN, LVN)
* Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
* Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.
* Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
* Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination.
* Attends standup meetings every weekday morning.
* Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
* Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
* Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
* Initiates and updates the physician certifications for each Medicare Part A Patient.
* Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
* Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.
* Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
* Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees responsibility to enforce it.
* Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.
* Responsible for assuring patient/resident safety.
* We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.
