RN Regional MDS Coordinator at CommuniCare Health Services Corporate

4 weeks ago


Cleveland, Ohio, United States DirectEmployers Full time

Job Summary:

CommuniCare Health Services is seeking a highly skilled RN Regional MDS Coordinator to provide consultation, guidance, and support to our facilities in the Cleveland, OH area. As a key member of our team, you will be responsible for evaluating and providing education, intervention, and support for the Resident Assessment Instrument (RAI) process, Federal and State regulations regarding reimbursement systems, and special contract reimbursement systems.

Key Responsibilities:

  • Provide comprehensive training for systems related to the patient assessment instrument, clinical software, Medicare reimbursement, Medicare coverage/eligibility requirements, State Medicaid reimbursement systems, and special contract systems.
  • Monitor and support center reimbursement and clinical services.
  • Provide direction for the implementation of the case management process and provide ongoing support as it relates to program integrity.
  • Monitor RAI process for accuracy and completeness to assure accurate, comprehensive patient assessment and reimbursement potential is reflected by medical record review, discussion, recommendation, documentation, and reporting.
  • Maintain role of RN Resident Assessment Coordinator (RAC) when needed.
  • Recruit and orient new RACs as needed.
  • Establish rapport and trust with regional and center teams, communicating concerns appropriately.

Requirements:

  • Registered Nurse license in primary state of residence.
  • Minimum of three (3) years of experience as a trainer in Medicare, Medicaid, RAI, and contract reimbursement systems preferred.
  • Multi-facility management experience preferred.

About Us:

As a family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Our mission is to create 'Caring Communities' where staff, residents, clients, and family members care for and about one another.



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