Join MJHS as an MDS/Case Manager to play a crucial role in coordinating resident assessments and ensuring compliance with regulatory standards, while interfacing with managed care for optimal reimbursement.
Key Responsibilities
Coordinate and ensure the timeliness of resident assessment processes and documentation as mandated by regulatory agencies and internal policy.
Interface with managed care representatives regarding levels of reimbursement.
Determine payer coverage for admissions, readmissions, and hospital returns.
Required Qualifications
BSN
Four years experience as a registered nurse in a long-term care facility, including supervisory experience
PRI Assessor Certification
Proficiency in Medicare coverage requirements
Experience and proficiency in MDS
Proficiency in basic computer data entry and Outlook functions
Preferred Qualifications
RAC-CT Certification preferred
Demonstrated ability to interact/mentor/educate other disciplines