North Shore Healthcare
Resident Care Management Director - MDS - Full-Time 1st Shift
North Shore Healthcare, Sturgeon Bay, Wisconsin, United States, 54235
Overview
We provide in-depth MDS training, certifications, and ICD 10 coding.
North Shore Health is Midwest's leading employer and provider of post-acute care. Our dedicated professionals strive to deliver quality care to our residents and their families. Join a vibrant family-feel company with career growth opportunities.
Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each community we serve. We understand that choosing where you want to go in your career is a big decision. We want the opportunity to show you that North Shore Healthcare is the Right Choice for you.
Summary / Objective Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.
Responsibilities Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care team
Ensuring the face validity of all Minimum Data Sets before electronic submission
Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
Calculate triggers and develop resident assessment protocols for initiation of care plan
Ensure MDSs are completed timely
Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies / procedures
Review and assess all resident information (including hospital records) to accurately complete MDS scoring
Train nursing staff on responsibilities for timely and accurate clinical record documentation
Participates in the interdisciplinary care team
Stays current with state and federal regulatory changes
Complies with laws and regulations applicable to position and act in accordance with the Center's Compliance Program
Attends and participates in in-service training, performance improvement (PI) committees, and other meetings as scheduled and directed
HIPAA
Follows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
Uses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasks
Reports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy Designee
Required Experience and Education
Registered Nurse (RN) in good standing with the respective state licensing board
Preferred Experience and Education
2+ years of previous experience
Experience in a fast-paced environment
Post-acute care or healthcare experience
Demonstrated competence PDPM as well as OBRA compliance
Excellent clinical assessment skills
Benefits
Health insurance for full-time employees
Dental and vision insurance for full and part-time staff
401(K) Program for full and part-time staff
6 paid holidays plus one floating holiday for full-time staff
Company paid life insurance for full-time staff
Voluntary life and disability insurance for full-time staff
Paid Time Off
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North Shore Health is Midwest's leading employer and provider of post-acute care. Our dedicated professionals strive to deliver quality care to our residents and their families. Join a vibrant family-feel company with career growth opportunities.
Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each community we serve. We understand that choosing where you want to go in your career is a big decision. We want the opportunity to show you that North Shore Healthcare is the Right Choice for you.
Summary / Objective Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.
Responsibilities Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care team
Ensuring the face validity of all Minimum Data Sets before electronic submission
Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
Calculate triggers and develop resident assessment protocols for initiation of care plan
Ensure MDSs are completed timely
Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies / procedures
Review and assess all resident information (including hospital records) to accurately complete MDS scoring
Train nursing staff on responsibilities for timely and accurate clinical record documentation
Participates in the interdisciplinary care team
Stays current with state and federal regulatory changes
Complies with laws and regulations applicable to position and act in accordance with the Center's Compliance Program
Attends and participates in in-service training, performance improvement (PI) committees, and other meetings as scheduled and directed
HIPAA
Follows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
Uses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasks
Reports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy Designee
Required Experience and Education
Registered Nurse (RN) in good standing with the respective state licensing board
Preferred Experience and Education
2+ years of previous experience
Experience in a fast-paced environment
Post-acute care or healthcare experience
Demonstrated competence PDPM as well as OBRA compliance
Excellent clinical assessment skills
Benefits
Health insurance for full-time employees
Dental and vision insurance for full and part-time staff
401(K) Program for full and part-time staff
6 paid holidays plus one floating holiday for full-time staff
Company paid life insurance for full-time staff
Voluntary life and disability insurance for full-time staff
Paid Time Off
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