Medical Data Coordinator
5 days ago
We are a leading provider of post-acute care services, committed to revolutionizing the delivery of quality care across the country. Our mission is to lead with compassion, delivering personalized, high-quality care that meets the unique needs of every resident.
We strive for excellence in everything we do, from our state-of-the-art facilities to our expert team of licensed medical professionals. Our values of love, trust, accountability, mutual respect, and fun drive every decision we make, ensuring that our residents receive the best possible care.
If you're passionate about making a difference in the lives of others, join us at PACS Inc and be part of a team that sets the standard for resident care.
Salary and Benefits:
We offer aggressive wages based on relevant industry experience, as well as comprehensive affordable benefits including medical (BCBS), dental, vision, and 401(k) plans. Enjoy paid time off and your birthday off as a paid holiday, and take advantage of career growth opportunities through tuition reimbursement and professional development.
Our positive work environment supports your skills and contributions, making a meaningful impact in the lives of our residents.
Job Description:
The primary responsibility of this role is to coordinate and oversee the timely and accurate completion of Resident Assessment Instruments (RAIs) in compliance with state and federal regulations. This includes facilitating interdisciplinary care planning, ensuring proper Medicare utilization review, and mentoring staff to maintain a high standard of care and documentation.
Key responsibilities include coordinating all required RAIs, timely transmission of RAIs, maintenance of an RAI calendar, monitoring ancillary department sections of the RAI, mentoring and teaching nursing and ancillary staff, and maintaining smooth communication with billing regarding residents' Medicare status and RUG categories.
Care Planning Responsibilities:
Coordinate and facilitate interdisciplinary Resident Care Plan Conferences, ensure that care plans are completed, updated, and accelerated to reflect an interdisciplinary approach to residents' changing needs, and actively participate in the development of a comprehensive, individualized, interdisciplinary plan of care for each resident.
Utilization Review:
Review each Medicare resident's case on the day of admission to ensure appropriateness of Medicare coverage, interact with the Interdisciplinary Team to evaluate residents' status and needs relative to Medicare skilled needs and potential for RUG category changes, conduct daily concurrent utilization review via chart audit, and consult routinely with the Clinical Case Manager regarding the resident's Medicare coverage status.
Qualifications:
An active, unencumbered RN license in Missouri, current CPR certification, knowledge and experience with PCC (PointClickCare), maintenance of all required continuing education and licensing, and good standing with the State Board of Nursing.
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