Regional MDS Consultant (RN)

Brickyard Healthcare


Date: 9 hours ago
City: Evansville, IN
Contract type: Full time
We rely on and trust our Regional MDS Consultant to provide extensive training, analysis, direction, action plan/resolution and consultation to the facilities, district and regional teams within his/her area of specialty.

Why Work For Us?

  • Competitive Pay
  • Excellent health benefits packages
  • Career advancement opportunities
  • Education reimbursement program of up to $7,500 per year


Benefits & Conditions:

  • No waiting period for enrollment
  • Three health plan options
  • Delta Dental
  • VSP Vision
  • Free Basic Life Insurance
  • Disability, Critical Illness, Accident & Legal Coverage
  • 401(k) Retirement Plan
  • Employee Assistance Program


Responsibilities:

  • Validates compliance with federal and state regulations as well as Company policy and procedures regarding state case mix/Medicare payment systems, RAI process and operations
  • Provides direct consultation, training and support related to the RAI Process. Medicare and state case mix payment system for assigned area.
  • Monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant state Medicaid/Medicare payment performance and RAI process completion.
  • Responsible for training Registered Nurse Assessment Coordinator (RNAC) on accuracy and systems related to RUG mix, RAI process and Grouper calculation.
  • Responsible for effective action plan resolution in areas of RAI process case-mix/Medicare system and action plans to necessary parties.
  • Serves as a liaison between state and organization related to the state case-mix process, including electronic submission and state MDS requirements related to state payments.


Qualifications:

  • RN or completion of a Bachelor’s Degree in a health care or related field
  • Five to seven years of clinical experience in a long-term care setting, which includes supervisory, administrative, or consultative capacities
  • Current knowledge of state case mix and Medicare payment systems
  • Capable of maintaining regular attendance
  • Must be able to work favorably across departments


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