$36.50 - $50.23/Hourly
Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
Overview Works under the supervision of the Administrator. Oversees the entire Resident Assessment Instrument (RAI) process focusing on delivery of care, resident outcomes, reimbursement, and quality assurance of the RAI process. Ensures accurate and timely completion of all areas of the assessment, Care Area Assessment(CAA) completion, and Care Plan development.
What you will do
Report status of Minimum Data Set(MDS) assessments due to Administrator on a weekly basis. Assures timely scheduling of MDS and timely completion per regulatory requirements.
Utilize auditing tools to manage RUG, ADL score, 5 Star, QRP, and QM trends.
Communicate with Accounts Receivable analyst regarding Prospective Payment System(PPS) assessments ready to be billed. Completes required percentage of MDS from previous month by monthly deadline for timely billing.
Participate in meetings and training events provided by Quality/Reimbursement team. Provides in house training for direct care staff to ensure accurate documentation of provision of care.
Participate in monthly facility Quality Assurance(QA) meetings (with focus on QM/5 Star/QRP). Serves as a resource to QA team with development of QAPI plans related to QM/5 Star reports.
Work with nursing administration, providers, and rehab to determine best course of action regarding quality care and provision of care with appropriate implementation of plan of care.
Qualifications
Experience
2 years Long-term care or Skilled Nursing experience (Preferred)
Licenses and Certifications
Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) or licensed in a compact state Upon Hire(Required)
BLS/CPR/AED - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)