You haven't searched anything yet.
JOB SUMMARY:
The Medicare Nurse Case Manager (MNCM) will coordinate the nursing aspect of the Medicare program, including screening for skilled care, pre-admissions, admissions, nursing documentation and evaluations for continued stay, to ensure an effective Medicare program. Monitors the assignment of patients to Resource Utilization Groups (RUGs), utilization of resources used in treatment and the assignment of RUGs payment periods associated with the Minimum Data Set (MDS) schedules. Works with the Billing Department to coordinate patient services utilization, RUGs payment categories, and UB 04 coding. Develops and maintains on-going MDS schedules for each patient. Communicates with physicians / nurses / CNAs / coworkers / interdisciplinary team members and families, as appropriate, regarding patient’s clinical condition. Responds timely and accurately to changes in patient’s condition or response to treatment by initiating assessment action plan. Follows a flexible work schedule to cover weekend admissions. Performs general nursing duties as required. The Medicare Nurse Care Manager is responsible to the Director of Nursing Services.
EDUCATION:
Must be a Licensed Nurse. Must be a graduate of an accredited school of nursing currently registered with the state agency for nursing licensure and certification and hold a valid license in the state he/she is employed.
PROFESSIONAL REQUIREMENTS:
REGULATORY REQUIREMENTS:
LANGUAGE SKILLS:
SKILLS:
PHYSICAL REQUIREMENTS:
PHYSICAL DEMANDS:
Use the percentages range as follows:
Requires full range of body motion including:
Full Time
$56k-69k (estimate)
02/16/2023
06/30/2024
charlestonhcgroup.com
WACO, TX
100 - 200
1997
MICHAEL BUMPASS
$10M - $50M