We currently have an excellent opportunity for experienced Registered Nurse Assessment Coordinator who has two or more years of experience with MDS completion, reimbursement, clinical resources utilization and/or case management. Someone with high initiative and proven ability to efficiently and effectively lead interdisciplinary teams as well as coordinate and manage the RNAC Team and RAI process.

Responsibilities include:

• Manages the activities and performance of the Resident Assessment Coordinators.
• Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Collaborates with the IDT to identify significant change in status and implementation of Significant Change in Status MDS.
• Ensures timely, accurate and complete assessment of the residents’ health and functional status during the entire assessment period.
• Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the facility.
• Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments.
• Tracks Medicare customers to determine continued and appropriate Medicare eligibility and benefit period through regular communications with Corporate Clinical Reimbursement department and Business Office. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification.
• Performs concurrent MDS review to assure appropriate RUGS category is achieved through the capture of appropriate clinical information. Identifies opportunities to enhance reimbursement.
• Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay and ensures the accurate and timely completion of all MDS assessments. Performs modifications and inactivations of assessments in accordance with CMS Correction Policy. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes and utilization of Data Integrity Audit reports per company policy. Ensures the timely electronic submission of all Minimum Data Sets.
• Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes and utilization of Data Integrity Audit reports per company policy.
• Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process.
• Reviews validation reports and ensures the appropriate follow-up action is taken.
• Communicates with the Business Office and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index, if applicable, and their reimbursement impact.
• Participates in the month end Triple Check and other meetings as appropriate
• Functions as and RAI and Clinical Reimbursement resources to the facility staff.
• Other duties as assigned.

Qualified applicants must also have:

• Two years of experience as an RNAC in healthcare setting; long term care is preferred.
• A current Registered Nurse license from Pennsylvania is required; BSN is a plus.
• Experience using PointClickCare or similar healthcare information system is required.
• Proficiency with PointClickCare as well as Microsoft Office software such as Outlook, Excel and Word.
• Excellent interpersonal and organizational skills as well as the ability to work flexible hours to support business requirements.

The company offers a competitive salary, health, dental and vision insurances, voluntary benefits through AFLAC and Colonial Life as well as 401(k) and paid time off. Equal Opportunity Employer.