Dallas, Texas, United States · On-site
Job DetailsJob Location: Skilled Nursing at The Villa at Mountain View - Dallas, TX 75211Position Type: Full TimeJob Category: Nursing Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a cu…
Skills: MDS Assessments, RAI Process, Medicare Reimbursement, Medicaid Reimbursement, Clinical Documentation
Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · Remote Solely
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · Remote OK
Company Description As the world’s leading vendor of Cyber Security, facing the most sophisticated threats and attacks, we’ve assembled a global team of the most driven, creative, and innovative people. At Check Point, o…
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · Remote OK
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · Remote OK
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · Remote OK
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Dallas, Texas, United States • On-site
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Ensure appropriate Medicare and Medicaid reimbursement through the Patient Assessment Instrument (RAI) process and MDS assessments. Manage quality patient care compliance in accordance with federal and state standards while coordinating with interdisciplinary teams.
Requires a valid Texas nursing license (RN or LVN) and a HHSC RUG Online Training completion certificate. Preference is given to candidates with at least 2 years of long-term care experience and the ability to obtain AANAC RAI Certification within one year.
Job DetailsJob Location: Skilled Nursing at The Villa at Mountain View - Dallas, TX 75211Position Type: Full TimeJob Category: Nursing Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.
Please visit cantexcc.com for more information on this location.
The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.
A current, valid Texas nursing license is required (RN, LVN)
At least 2 years of LTC experience preferred.
Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
Ability to effectively communicate, direct, and at times, delegate tasks.
Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.
Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the public.
Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination.
Attends standup meetings every weekday morning.
Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
Initiates and updates the physician certifications for each Medicare Part A Patient.
Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.
Prepares for all Medicaid audits.
Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
Achieves at least budgeted rates expectation.
Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees responsibility to enforce it.
Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.
Responsible for assuring patient/resident safety.
Performs other duties and/or tasks as assigned.
#HP
We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.
Committed to Excellence!
Cantex Continuing Care Network represents a unified, seamless pathway of compassionate care and medical excellence, aimed at complete recovery beginning the moment a patient is released from the hospital. Our integrated network of healthcare services includes transitional care, rehabilitation, chronic care, home health services, hospice and pharmacy, all centered on the patient. Cantex Continuing Care Network is a privately owned company, founded in 1978 and has continued under the same ownership for the last 42 successful years. We offer a full-service post-acute network through 37 nursing centers, In-house Rehab services, 7 home health agencies, 4 hospice agencies, and 2 in-house pharmacies – spread across Texas! In January of 2020, Cantex launched its own Medicare Advantage plan for residents called Pro Care Advantage Plan! For more information please visit our website at https://www.linkedin.com/redir/general-malware-page?url=www%2ecantexcc%2ecom%2e
Offices: 2537 Golden Bear Dr., Carrollton, TX 75006, US
