Director Care Coordination / MDS

Director Of Care Coordination

Lead the Way as Director of Care Coordination at Diversicare!

At Diversicare, we're looking for a passionate Director of Care Coordination to join our exceptional team. If you're dedicated to making a difference in the lives of our patients and residents, we invite you to apply.

Why Lead at Diversicare:

• Leadership Opportunity: As the Director of Care Coordination, you will play a pivotal role in ensuring that our care resources are aligned with patient needs, benefits, and exceptional service.
• Ownership and Excellence: We take pride in our culture of trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. As a leader, you will embody these values and shape our culture.
• Comprehensive Benefits: Enjoy a competitive benefits package, including medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, vacation, holiday, and sick time, long and short-term disability, and more.
• Impactful Role: You will be responsible for coordinating the restorative nursing program, facilitating daily care coordination meetings, and ensuring timely communication with patients and families regarding changes in condition and discharge planning.

Responsibilities

• Facilitate daily care coordination meetings to align care resources with patient needs and benefits.
• Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.
• Manage the restorative nursing program, integrating it with the activity department.
• Ensure timely communication with patients and families regarding changes in condition and discharge planning.
• Collaborate with the clinical team to develop and execute care plans.
• Coordinate discharge planning and post-discharge communication, including home health and DME.
• Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.
• Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.
• Coordinate the RAI Process, ensuring accuracy and compliance with state and federal regulations.
• Collaborate with the interdisciplinary team to assess patient/resident needs and coordinate care plans.
• Conduct Care Plan conferences with patients, residents, and families.
• Provide education related to the RAI Process and ensure accurate coding of MDS assessments.
• Monitor Quality Measures and ensure MDS accuracy to reflect quality standards.
• Maintain accurate documentation and ensure timely submission to state databases and other entities.
• Ensure compliance with Medicare and Medicaid regulatory guidelines.

Qualifications

• Degree in nursing, must hold a Registered Nurse current license.
• Two years of MDS experience, knowledge of healthcare reimbursement, utilization management, and discharge planning.
• Experience providing strategic leadership, managing teams and leading projects required.
• Ability to formulate and implement short and long term strategic plans
• Strong verbal, written and interpersonal skills.
• Must have proven ability to lead a team to achieve desired outcomes of team
• Strong communication and organizational skills required
• Must have knowledge of PDPM requirements of insurers
• Must have understanding of regulatory requirements
• Previous case management experience preferred

(EOE)