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Diversicare of Shelby
MDS Coordinator - Director of Care Coordination - RN
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Based on Mississippi data
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What they do
A Nurse Manager manages nurses working in a clinical unit at a hospital or health care facility. Provides clinical experience as a registered nurse and supervises nurses that provide direct patient care. Creates and manages staff schedules and ensures that hospital policies and procedures are followed. Manages budget and recordkeeping for the unit.
$78,020 / year median in Mississippi
+2% projected growth
Job Description
Overview Exciting Opportunity:
Join Diversicare as an MDS Coordinator- Director of Care Coordination
- RN. Diversicare is seeking a dedicated MDS Coordinator/Clinical Coordinator
- RN to join our exceptional team and make a difference in the lives of our patients and residents.
Why Choose Diversicare:
Leadership Opportunity:
As our MDS Coordinator/Clinical Coordinator- (RN), you'll play a pivotal role in ensuring exceptional patient care by overseeing the accuracy and compliance of MDS assessments.
Upholding Our Values:
At Diversicare, we value trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. As an MDS Coordinator, you'll embody these values and help shape our workplace culture.Comprehensive Benefits:
Enjoy a competitive benefits package, including competitve salary, medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, and more. #ND123 Responsibilities 1. Coordinates the RAI process. a. Ensures accurate and timely MDS assessments according to state and federal regulations b. Utilizes the assessment observation period to collaborate with the entire team to ensure thorough documentation supporting the MDS is present in the medical record f. c. Provides observations and interviews of center team members, patients, residents and family members for accurate assessment of the resident and patient d. Ensures interdisciplinary team completes designated sections of the MDS assessment e. Maintains the tracking system of MDS assessment schedules (timeframes and due dates) f. Audits MDS assessments per company guidelines g. Provides education related to the RAI Process routinely to center team members h. Coordinates and completes electronic submissions of MDSs per federal regulations 2. Obtain, review and maintain all state and federal reports, making appropriate corrections timely. 3. Monitors Quality Measures and collaborates with the interdisciplinary team accordingly to ensure that MDSs are accurate to support and reflect the Quality Measures. 4. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely (i.e certifications, beneficiary notices, skilled documentation, coverage criteria, etc.) 5. Determines need for non-coverage notification and coordinates communication with patients/families/payers and the interdisciplinary team. 6. Collaborates with the clinical team in the development and execution of care planning and conference. 7. Facilitates daily care coordination meetings to ensure care resources are aligned with benefits and patient needs. 8. Facilitates and participates in the 72 Hour meeting. Ensure collaboration as part of the care management team. 9. Facilitates the completion of aftercare calls. 10. Responsible for the coordination of the restorative nursing program including collaboration with the interdisciplinary team. 11. Ensures timely communication with the patient/family regarding changes in condition, discharge planning, and post discharge communication to be documented in the medical record. 12. Manages all initial, concurrent, and discharge reviews (Managed Care authorizations, reauthorizations, and discharge summaries) 13. Responsible for ongoing communication with all insurance case managers. 14. Obtains and records all Managed Care Part B authorizations for the therapy department. 15. Ensures utilization of company tools/resources related to care management- e.g. PCC, SHP, and Managed Care Master. 16. Ensures timely facilitation of patient care rounds/conferences to review treatment plans and identify discharge and post discharge needs. 17. Participates in the End of Month Billing Review Foundational Process. 18. Other job assignments as directed by the Administrator. Qualifications 1. Must hold a current RN license in state of employment.
- LPNs will be considered in centers where an RN is present in the department.