Director of MDS
Found in: Lensa US P 2 C2 - 2 weeks ago
Director of MDS
A nursing home is seeking a Director of MDS.
The Director of MDS is responsible for the overall successful completion of the MDS process from admission to discharge in accordance to company policy and procedure, State and Federal guidelines, and all other appropriate entities.
Responsibilities and Duties:
Ensure collection of resident information to allow for future assessments, including physical and mental states
Assume a leadership role in Quality Assurance and Performance Improvement activities
Prepare and distribute clinical conference schedule
Medicare determinations on new admissions and re-admissions
Notify families and billing department regarding Medicare determinations
Prepare and track Medicare certifications and recertification's
Ensure completion of all sections of facility MDS assessments
Responsible for insurance (Managed Medicare, Managed Medicaid and Commercial) concurrent reviews
Initiate and track insurance appeals for admission denials and continued stay
Schedule UAS with Managed Medicaid providers on appropriate residents
Track coverage for insured residents from admission to discharge
Collaboratively and cooperatively work with the MDS department, as well as interdisciplinary team
All other duties as assigned
Requirements/Qualifications:
Current FL Licensed Registered Nurse
MDS experience required and a working knowledge of Insurance contracts
Utilization Review/Case Management
Benefits:
Excellent salary
Great benefits package
Excellent and Supportive work environment
An Equal Opportunity Employer
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