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Regional MDS Consultant
Career Insights for Nurse Case Manager
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Based on Illinois data
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What they do
A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
$71,948 / year median in Illinois
+5% projected growth
Job Description
Regional MDS Consultant Job Summary:
The Regional MDS Consultant is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement.Essential Duties:
Ensures that the facility is following the organization's policy and procedures and complies with all state regulations Hybrid position in Central Illinois with travel Understands and implements company policies and procedures Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change. Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records. Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standardsBenefits Offered:
Extremely low-cost Health, Dental, Vision, 401K, and more $25,000 Company Paid Life Insurance- at no cost to you Leadership Training to enhance your management skills Daily Pay
- get your money when you want Paid Vacations
- rolls over each year Paid Sick Time Paid Holidays Tuition Reimbursement Daily, Weekly, Monthly Employee Appreciation Events Birthday, Anniversary Celebrations Free Employee Assistance Programs
- professional support & guidance on family, money, health, legal services and more Huge Discounts at all major retailers (Walmart, Costco, etc.