Resident Care Management Director - MDS - Full-Time 1st Shift

Job TitleResponsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.ResponsibilitiesReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulationsCoordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care teamEnsuring the face validity of all Minimum Data Sets before electronic submissionCoordinate the completion of each resident's MDS in compliance with all State and Federal requirementsCalculate triggers and develop resident assessment protocols for initiation of care planEnsure MDSs are completed timelyAccurately identify each resident's level of functioning in accordance with RAI manual guidelinesCoordinate and assist with weekly interdisciplinary care conferences and Medicare meetingsMaintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/proceduresReview and assess all resident information (including hospital records) to accurately complete MDS scoringTrain nursing staff on responsibilities for timely and accurate clinical record documentationParticipates in the interdisciplinary care teamStays current with state and federal regulatory changesComplies with laws and regulations applicable to position and act in accordance with the Center's Compliance ProgramAttends and participates in in-service training, performance improvement ("PI") committees, and other meetings as scheduled and directedHIPAAFollows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health informationUses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasksReports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy DesigneeRequired Experience and EducationRegistered Nurse (RN) in good standing with the respective state licensing boardPreferred Experience and Education2+ years of previous experienceExperience in a fast-paced environmentPost-acute care or healthcare experienceDemonstrated competence PDPM as well as OBRA complianceExcellent clinical assessment skillsBenefitsHealth insurance for full-time employeesDental and vision insurance for full and part-time staff401(K) Program for full and part-time staff6 paid holidays plus one floating holiday for full-time staffCompany paid life insurance for full-time staffVoluntary life and disability insurance for full-time staffPaid Time Off