Chatham Place at Mary Wade
Director of Clinical Reimbursement, MDS RN
Chatham Place at Mary Wade, New Haven, Connecticut, us, 06540
Director of Clinical Reimbursement, MDS RN
Mary Wade is looking for a full-time Director of Clinical Reimbursement, MDS RN. Annual Salary Range: $94,000.00 to $106,000.00 (commensurate with experience). This position plays a major role in the accuracy of clinical documentation as it pertains to Resident care planning, documentation and coding and the revenue maximization via the accuracy of coding and EMR documentation. Job Duties Include The Following But Not Limited To Coordination of the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations. Accurate completion of all MDS assessments and any supporting assessments or clinical documentation. Implementing and ongoing evaluation of each resident’s comprehensive plan of care. Scheduling and leading interdisciplinary care plan team meetings. Responsible for the resident care planning process Oversee other team members in the MDS department Auditing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education to department heads, physicians, and other staff as needed. Collaborating with health plans, physicians, and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria. Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving regarding SNF PDPM payment system and quality reporting program Serves as coordinator between medical staff, nursing, and other operational departments with respect to the resident care planning process with utilization of the MDS. Develops and analyzes quality assessment indicators for use in monitoring performance under OBRA regulations regarding practice and documentation of the MDS and resident care plan. Analyzes and evaluates clinical and operational systems relative to OBRA requirements and makes recommendations. Serves as the primary resource person for the dissemination of information regarding care planning including proposed changes in regulations and needs, assists Director of Nursing in completion of required RAI documentation. Active CT RN License 2 - 3 years’ experience in long term care nursing home environment. 1-2 years' experience as a MDS Coordinator. Sensitivity to the needs of the elderly in a healthcare setting. Good interpersonal and communication skills. Ability to read, analyze, and interpret nursing policies and procedures, journals, OBRA and JACHO regulations, state public health code, and federal regulation. Ability to write reports. Ability to effectively present information and respond to questions from staff members, residents, resident families, visitors, physicians, and other consultants.
#J-18808-Ljbffr
Mary Wade is looking for a full-time Director of Clinical Reimbursement, MDS RN. Annual Salary Range: $94,000.00 to $106,000.00 (commensurate with experience). This position plays a major role in the accuracy of clinical documentation as it pertains to Resident care planning, documentation and coding and the revenue maximization via the accuracy of coding and EMR documentation. Job Duties Include The Following But Not Limited To Coordination of the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations. Accurate completion of all MDS assessments and any supporting assessments or clinical documentation. Implementing and ongoing evaluation of each resident’s comprehensive plan of care. Scheduling and leading interdisciplinary care plan team meetings. Responsible for the resident care planning process Oversee other team members in the MDS department Auditing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education to department heads, physicians, and other staff as needed. Collaborating with health plans, physicians, and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria. Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving regarding SNF PDPM payment system and quality reporting program Serves as coordinator between medical staff, nursing, and other operational departments with respect to the resident care planning process with utilization of the MDS. Develops and analyzes quality assessment indicators for use in monitoring performance under OBRA regulations regarding practice and documentation of the MDS and resident care plan. Analyzes and evaluates clinical and operational systems relative to OBRA requirements and makes recommendations. Serves as the primary resource person for the dissemination of information regarding care planning including proposed changes in regulations and needs, assists Director of Nursing in completion of required RAI documentation. Active CT RN License 2 - 3 years’ experience in long term care nursing home environment. 1-2 years' experience as a MDS Coordinator. Sensitivity to the needs of the elderly in a healthcare setting. Good interpersonal and communication skills. Ability to read, analyze, and interpret nursing policies and procedures, journals, OBRA and JACHO regulations, state public health code, and federal regulation. Ability to write reports. Ability to effectively present information and respond to questions from staff members, residents, resident families, visitors, physicians, and other consultants.
#J-18808-Ljbffr