ESSENTIAL FUNCTIONS:

1) To have initiative, judgment, and management ability to determine the needs of assigned facilities.

2) To act as an essential resource to facility MDS Nurses and administrative staff, provide support, and guidance with a POSITIVE approach in order to create change in facility performance and outcomes.

3) To ensure that the Resident Assessment Instrument and the documentation to support the Resident Assessment Instrument for regulatory and reimbursement purposes are within the standards of Principle Long Term Care and Federal and State guidelines.

4) To participate in the training and education of facility MDS and Interdisciplinary Team Members in all areas of the Resident Assessment Instrument process, and the quality measures.

5) To ensure that facilities are accurately reporting resident conditions and services provided in accordance with Federal and State guidelines in an effort to maximize quality measure ratings, and reimbursement through all payer sources.

6) To perform intensive reviews of the Resident Assessment Instrument and all related documentation to determine regulatory and reimbursement guideline compliance, and to identify opportunities for improvement.

SPECIFIC RESONSIBILITIES:

1) Perform routine on-site reviews of the Resident Assessment Instrument (RAI), related documentation to support the RAI, and documentation of required information to support reimbursement in accordance with Federal and State guidelines and regulations.

2) Review documentation, observe residents, and interview staff to determine if the facility is appropriately and accurately capturing resident needs, conditions, and services provided that impact reimbursement, and the quality measures.

3) Provide hands-on training for new MDS Nurses, Social Workers, Dietary Managers, and Activity Directors in the Resident Assessment Instrument process and related documentation requirements for regulatory compliance and reimbursement.

4) Provide on-site support with completion of the MDS and RAI process.

5) Assist facilities as needed during any intermediary audit as directed by the Corporate Director of Reimbursement – MDS.

6) Prioritize facility visits according to the needs of the facility, problems and/or opportunities identified during previous visits, MDS Nurse staffing issues, or as directed by the Job Type: Full-time Corporate Director of Reimbursement – MDS.

Experience:

• Regional: 1 year (Preferred)

• LTC: 3 year (Preferred)

• Management: 1 year (Preferred)

• MDS:3 year (Required)

• RAC-CT

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License:

• BLS (Preferred)

• Registered Nurse (RN) (Required)

Work Location:

• Multiple locations (be prepared to stay away from home)

Benefits:

• Health insurance

• Dental insurance

• Paid time off