Care Planning Specialist

5 days ago


Florissant, Missouri, United States PACS Inc Full time
PACS Inc Overview:

We pride ourselves on being a top choice for short-term rehabilitation and long-term care in Saint Louis County, with a welcoming environment filled with familiar, friendly faces every day. Our culture is centered around providing exceptional care in a supportive and rewarding environment, where nurses like you make a difference every day.

We value physical, emotional, and social well-being, offering residents a vibrant and fulfilling lifestyle. Our goal is to foster strong relationships between our residents and the local community through engaging events and activities.

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 MDS Coordinator plays a vital role in our team, responsible for ensuring timely and accurate completion of Resident Assessment Instruments (RAIs). 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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