About this role
Overview
The SC RN-Clinical Reimbursement Coordinator Float is responsible for assigned resident’s MDS/RAI care plan implementation, completion, transmission, and auditing through the Triple Check process. The RN-Clinical Reimbursement Coordinator Float is responsible for coordination of clinical payment programs including the Quality Reporting Program, the Value Based Purchasing program and when applicable, community participation in incentive payment program initiatives. Responsible for case mix review in determining reimbursement case mix levels. Effectively interacts with residents, family members and other health team members, while maintaining standards of professional nursing to assure resident safety. Provides MDS scheduling back up to the Clinical Reimbursement Manager, when applicable.
Responsibilities
- Participate in interdisciplinary Clinical Reimbursement meetings as delegated to gather information necessary for the development of the care plan and to ensure the insurer requirements for documentation are met.
- Prepare or assist in the preparation, implementation and scheduling of each resident’s MDS, CAA analysis and care plan.
- Assist the Rehabilitation Services, Wellness, Culinary and Social Services departments with the MDS Monitor timeliness of MDS completion and reports any outstanding departments or issues.
- Participate in internal reimbursement audit processes as assigned.
- Performs other duties, tasks and/or projects as as assigned.
- Promotes the Benedictine Mission and Core Values of Hospitality, Stewardship, Respect and Justice by bringing the Mission and Core Values into the day-to-day activities of the company.
Qualifications
QUALIFICATIONS REQUIRED
- Graduation from an accredited school of professional nursing
- Current applicable state RN license to practice nursing, which must be in good standing
- BLS Certified
- Experience in geriatric nursing
- MDS/RAI experience in the past 2 years
- Working knowledge of multi-state state and federal regulations governing long-term care facilities
- Experience in working with the MDS, Medicare, assessment, and care-planning processes
QUALIFICATIONS PREFERRED
- AANAC Certification RAC-CT
- CPR Certified
EEO/AA/Vet Friendly
Salary Range
$40-$45Benefits Statement
A robust benefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntary benefits. For more information visit our website at www.benedictineliving.org.
Additional Information
#BHSSC
Other facts
About Benedictine
Assisted Living Skilled Nursing Short-term rehab* Benedictine is one of the largest Catholic senior living organizations in the country, operating more than 35 communities in five states. Benedictine is a mission-based, non-profit health system headquartered in Minnesota, sponsored by the Benedictine Sisters of St. Scholastica Monastery in Duluth. Benedictine provides complete senior living and care services for aging adults, including independent housing, assisted living, long-term skilled nursing care, short-term rehabilitation and memory care.
Mission
The Benedictine Health System is a Catholic, faith-based organization entrusted with advancing the life-enhancing senior care ministry of the Benedictine Sisters of Duluth, Minnesota.
We witness to God's love by creating compassionate communities providing support to those we serve to live fully and live well with special concern for the underserved and those in need.
Vision
Creating Benedictine Living Communities where health, wellness and choice come to life.
Core Values
Hospitality, Stewardship, Respect, Justice
What you'll do
- The Float MDS Coordinator is responsible for the implementation and auditing of resident care plans and MDS/RAI processes. They also coordinate clinical payment programs and ensure compliance with insurer documentation requirements.
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