Resident Care Management Director
3 weeks ago
#LI-MJ1
We provide in-depth MDS training, certifications, and ICD 10 coding.
North Shore Health Care is Midwest's leading employer and provider of post-acute care. Our dedicated professionals strive to deliver quality care to our residents and their families. Join a Vibrant family feel company with career growth opportunities.
Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each community we serve. We understand that choosing where you want to go in your career is a big decision. We want the opportunity to show you that North Shore Healthcare is the Right Choice for you.
Summary/Objective:
Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.
Responsibilities:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
* Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care team
* Ensuring the face validity of all Minimum Data Sets before electronic submission
* Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
* Calculate triggers and develop resident assessment protocols for initiation of care plan
* Ensure MDSs are completed timely
* Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
* Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
* Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
* Review and assess all resident information (including hospital records) to accurately complete MDS scoring
* Train nursing staff on responsibilities for timely and accurate clinical record documentation
* Participates in the interdisciplinary care team
* Stays current with state and federal regulatory changes
* Complies with laws and regulations applicable to position and act in accordance with the Center's Compliance Program
* Attends and participates in in-service training, performance improvement ("PI") committees, and other meetings as scheduled and directed
* HIPAA
* Follows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
* Uses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasks
* Reports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy Designee
Required Experience and Education
* Registered Nurse (RN) in good standing with the respective state licensing board
Preferred Experience and Education
* 2+ years of previous experience
* Experience in a fast-paced environment
* Post-acute care or healthcare experience
* Demonstrated competence PDPM as well as OBRA compliance
* Excellent clinical assessment skills
Benefits:
* Health insurance for full-time employees
* Dental and vision insurance for full and part-time staff
* 401(K) Program for full and part-time staff
* 6 paid holidays plus one floating holiday for full-time staff
* Company paid life insurance for full-time staff
* Voluntary life and disability insurance for full-time staff
* Paid Time Off
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