Job Description

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
#BYHCIND

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