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Presbyterian Homes Quality and Reimbursement Manager in SKOKIE, Illinois

Join the Presbyterian Homes Team! We are an independent, non-profit senior living care organization offering full continuum of care from independent and assisted living to skilled nursing and memory care at four luxury retirement communities. Presbyterian Homes has achieved national recognition and accreditation for senior living leadership and expertise. We were established in 1904 and have an excellent reputation for providing a wide range of living options to seniors to live every day as they wish. Our team members have consistently rated Presbyterian Homes as a great workplace in confidential engagement surveys.

Essential Functions

  • Maintain current knowledge of trends, expectations and changes in clinical practice, regulation, and policy as it relates to delivery of care, quality, and reimbursement

  • Provide consultation, guidance, education, and completes on-site assessments related to quality, safety, regulatory standards, reimbursement processes, and staffing standards.

  • Provide professional, quality-driven services, including but not limited to mock surveys, education, research, analysis of healthcare systems and processes, creative problem-solving and recommendations to Presbyterian Homes staff

  • Monitor and evaluate clinical programs and systems and assist with corrections and training

  • Regularly provides feedback and corrective action to Vice President of Clinical Services on overall clinical, quality, safety, and reimbursement process

  • Provide guidance by collaborating with community leadership to reduce risk and improve quality, safety, and satisfaction

  • Provide education to ensure employees are informed of changes in regulations, best practices, policies, and practices

  • Assists with the development and revision of clinical policies and procedures to ensure compliance with governmental regulations and current standards of practice

  • Implementing systems, monitoring, and developing improvement plans in order to promote positive resident outcomes

  • Covers in the absence of an MDS Coordinator or another clinical leader in the communities as directed.

  • Acts as a support system to the facilities as needed throughout the state survey process, including assistance with survey preparation, writing a corrective action plan, and monitoring for compliance

  • Consult and provide technical or interim management assistance to communities as requested

    Skills/Qualifications

  • A bachelor’s degree required.

  • Current RN license by the State of Illinois required

  • Resident Assessment Coordinator Certified (RAC-CT or RAC-CTA) required

  • 5-10 years’ recent clinical and leadership experience in Long-Term Care setting, preferably in the State of Illinois

  • Director of Nursing or Licensed Nursing Home Administrator experience preferred

  • Proven experience with quality and performance improvement (QAPI) concepts and processes

    Benefits:

  • Health Insurance: PPO & High Deductible plans

  • Dental insurance: PPO plans

  • Vision plan

  • Long-term and short-term Disability plan

  • Confidential employee assistance program

  • Generous Paid Time Off/PTO plan. It is a plan that rolls over year to year.

  • 403(b) retirement plan with employer match and baseline

  • Scholarship programs including Tuition reimbursement.

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