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Regional Healthcare Case Management Specialist
2 months ago
Regional CaseMix Specialist
Nexion Health Management
Location: Houston, TX
Nexion Health Management is a distinguished provider in the healthcare sector, operating numerous facilities across the nation. We are in search of a dedicated Regional CaseMix Specialist to enhance our team.
Position Overview:
The Regional CaseMix Specialist plays a crucial role in managing services for residents under managed care and Medicare, ensuring both efficiency and high standards of care. This role encompasses the coordination of admissions and discharges, advocating for the needs of residents and their families, and acting as a key liaison with insurance providers and healthcare professionals.
Key Responsibilities:
- Instruct facility personnel on Medicare and Medicaid regulations
- Perform audits to ensure adherence to policies
- Offer expertise on MDS coding practices
- Oversee the work of Casemix Managers
- Guarantee quality care for residents
- Encourage effective communication among staff
Qualifications:
- Graduate from an accredited nursing program
- Possession of a valid RN/LVN license
- At least 5 years of experience with MDS
- Proficient in Excel, Word, and relevant online platforms
- Willingness to travel as required
- Experience with PCC is preferred
Benefits:
We provide a competitive salary along with a comprehensive benefits package that includes paid time off, medical, dental, and vision insurance, a 401k plan, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), and more.
