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Skills: RAI Process, Case Management, MDS Assessments, Medical Record Review, Care Planning
RN Case Manager - Case Management - FT - 1st Shift
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Shottenkirk Honda Huntsville
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Facilitates the RAI process and coordinates MDS assessments to ensure compliance with state and federal regulations. Collaborates with interdisciplinary teams to manage patient care plans and conduct daily case management meetings.
Requirements
Must hold a current nursing license in the state of employment and have experience in long-term care. Requires knowledge of Medicare, Managed Care, and the RAI process, along with proficient computer skills.
Full job description
Overview
Smile, You’ve Found Us!
Are you passionate about caregiving? Would you like to work with the best team in the world? If so, Diversicare invites you to apply.
We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve.
If you wish to make a difference in the lives of our patients and residents, APPLY NOW!
Full Time Benefits include:
Medical/Dental/Vision
Excellent 401k plan
Tuition Reimbursement
Vacation, Holiday, and Sick Time
Long and Short Term Disability
Employee Assistance Program
Life Insurance
Referral Bonuses
DiversICARE - employee hardship fund
Pay advancement program - OnShift Wallet
Diversicare provides post-acute care services to patients and residents at 48 skilled nursing and long-term care centers in five states, primarily in the Southeast, Midwest and Southwest United States. Together, with our team of dedicated healthcare professionals, we leverage our diverse strengths to provide each patient and resident with healthcare serves that best meet their needs.
It is Diversicare’s Mission to “Improve every life we touch by providing exceptional healthcare and exceeding expectations.”
We are guided to excellence by five Core Values: Integrity, Excellence, Compassion, Teamwork and Stewardship, as well as 12 Service Standards.
We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence. Our Service Standards are in place to offer support. They lead us to what matters most to our company: creating a warm, caring, safe and professional environment for our customers and each other.
Our culture of impassioned service delivery is the Diversicare Difference.
#ND123
Responsibilities
1. Facilitates the RAI Process under the direction of an R.N. or DNS2. Work in Collaboration with the interdisciplinary team to identify the needs of the patient/resident.3. Coordinates and conducts the daily Case Management meeting.4. Ensures timely MDS assessments according to state and federal regulations.5. Ensures interdisciplinary team completes designated sections of the MDS assessment.6. Ensures and completes accurate coding of the MDS assessment with information obtained via medical record review, observation and interview with center staff, patients, residents and family members.7. Ensures documentation is available to support accurate coding of the MDS assessment.8. Maintains the tracking system of MDS assessment schedules (timeframes and due dates).9. Facilitates Care Plan conferences with the interdisciplinary team, patient, residents and families.10. Obtain, review and maintain all State and Federal reports, making appropriate correctionstimely.11. Monitors Quality Measures and ensures that MDSs are accurate to support and reflect theQuality Measures.12. Provides education related to the RAI Process13. Coordinates and completes electronic submission of required documentation to the Statedata base and other entities per company guidelines and State and Federal regulations.14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely(i.e.: certifications, denial letters, skilled documentation, coverage criteria, etc…)15. Provides Managed Care case management at the center level.16. Reviews Additional Documentation Requests (ADRs) with Health InformationManagement Coordinator (HIMC) to ensure all documents are available and meet therequest.17. Participates in billing reviews (Triple Check) to ensure claims have supporting MDSassessments documents.18. Participates in Quality Assurance and Process Improvement Activities.19. Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAIProcess and computer technology updates.20. May be required to fulfill the job functions of a direct care nurse as determined by the needs ofthe patients/residents and center
Qualifications
1. Must hold current nursing license in the state of employment.2. Experience in Long Term Care.3. Computer skills.4. Knowledge of Medicare, Managed care and RAI Process Required.5. Participating in the LPN to RN Back to School transition program.
Diversicare is committed to being an equal opportunity employer. Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.
(EOE)
Related keywords
LPNLVNLNACMDS CoordinatorRAI ProcessMedicareMedicaidManaged CareLong Term CareCase ManagementQuality MeasuresTriple CheckHealthcare ComplianceNursing LicensePost-Acute Care
How many Management & Leadership jobs are open in Huntsville, AL right now?
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