American Medical Association
Regional Reimbursement Consultant
American Medical Association, Chicago, Illinois, United States, 60290
Regional Reimbursement Consultant
Located throughout the Northern and Midwest regions of Illinois
Salary: $110K - $120K (based on experience)
Qualifications
Bachelor’s Degree in Nursing required.
Five years management experience with experience in long-term care
Must possess a current, unencumbered, active license to practice as an RN in the state.
General knowledge of professional basic nursing, restoratives and personal care services
Ability to read and interpret documents, write reports, and correspondence.
Must have a valid driver’s license
High level of interpersonal skills to handle sensitive and confidential situations and documentation, and interaction with coworkers.
Responsibilities
Ensures that the facility is in compliance with the organization’s policy and procedures and complies with all state regulations.
Performs comprehensive assessment on potential residents.
Understands and implements company policies and procedures.
Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
Participates in care conferences as needed or requested by facility.
Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.
Performs comprehensive assessment on potential residents.
Provides clinical training and support to all staff.
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 standards.
Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate.
Evaluates resident care plans for comprehensiveness and individuality.
Addresses complaints and resolves problems as needed.
Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately.
Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
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Located throughout the Northern and Midwest regions of Illinois
Salary: $110K - $120K (based on experience)
Qualifications
Bachelor’s Degree in Nursing required.
Five years management experience with experience in long-term care
Must possess a current, unencumbered, active license to practice as an RN in the state.
General knowledge of professional basic nursing, restoratives and personal care services
Ability to read and interpret documents, write reports, and correspondence.
Must have a valid driver’s license
High level of interpersonal skills to handle sensitive and confidential situations and documentation, and interaction with coworkers.
Responsibilities
Ensures that the facility is in compliance with the organization’s policy and procedures and complies with all state regulations.
Performs comprehensive assessment on potential residents.
Understands and implements company policies and procedures.
Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
Participates in care conferences as needed or requested by facility.
Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.
Performs comprehensive assessment on potential residents.
Provides clinical training and support to all staff.
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 standards.
Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate.
Evaluates resident care plans for comprehensiveness and individuality.
Addresses complaints and resolves problems as needed.
Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately.
Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
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