Join MJHS as an MDS/Case Manager where you'll play a vital role in coordinating resident assessments and interfacing with managed care to ensure quality care and reimbursement. Your expertise will directly impact the health and independence of individuals in our care.
Key Responsibilities
Coordinate and ensure the timeliness of resident assessment processes and documentation
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
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
Demonstrated ability to interact/mentor/educate other disciplines