Vivage Quality Health Partners

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Clinical Reimbursement MDS Coordinator RN

at Vivage Quality Health Partners

Posted: 10/8/2020
Job Status: Full Time
Job Reference #: 678
Keywords: office

Job Description

Mesa Vista, 2121 Mesa Dr, Boulder, Colorado, United States of America Req #678
Thursday, October 8, 2020

At Vivage, we’rerecognized as a national leader driving high quality service innovation forseniors and value for our investors. "Vivage" means "celebratingaging" inspiring our focus to create innovative and customer-driven modelsfilled with personalized and meaningful living experiences.

We are a senior healthcare, solution driven company which provides right care.. right place..righttime. Our Mission, Vision and Pillars of Commitment have come from ourcollective personal awareness and professional dedication to the importance ofeach person we serve, each employee we work with, and each business partner wehave. At Vivage we bridge today’s healthcare opportunities with innovativestrategies and solutions.

THE ADVANTAGE OF WORKING WITH US

Engaging Culture - Competitive Pay - GrowthOpportunities - Great Benefits - Family Environment - Payactiv

Clinical Reimbursement MDS Coordinator RN

The primary responsibility of your job position is to support the Clinical Coordinator in fulfilling all nursing administrative duties, including direct, coordinate and lead MDS Systems, Medicare A, Medicare B and all other insurance providers, as well as conduct care coordination for case management following the current federal, state and local standards, guidelines and regulations that govern long term care and assisted living facilities.   Working with the Clinical Coordinator, you will divide nursing administrative duties in a way that will ensure the well-being of the elders, compliance with all state and federal guidelines, and the capturing of reimbursement due the community. Incumbent is delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

KEY RESPONSIBILITIES:

  • Manages and coordinates care with the rehabilitation team

  • Assess elders in all areas needed to complete annual and quarterly MDS forms

  • Write and update Care Plans as needed per assessments and monitor that acute care plans are current

  • Assess elders for need for restraints and obtain all needed consents and physician’s orders

  • Coordinate the process of assessing incontinent elders for need for bladder or bowel retraining or toileting programs

  • Implement adaptive behavior programs and other interventions consistent with the care plan for each individual resident

  • May direct the restorative nursing program

  • Assess strategies for capturing the highest burden of care delivered to elders and is responsible for implementation of strategies to ensure quality outcomes and fiscal responsibility for the community assessments

  • Assists with leadership within the community participating in daily PSS, weekly and monthly triple check

  • Complete pre-admission assessments and participate in the decision making process regarding new admissions

  • Complete Quality Management Reports based on Quality Measures, develop action plans and report on process and outcomes of these action plans

  • Serve on or chair the Medication Review Committee and Pain Review Committee

  • Participate in or assist with the following programs:  Restraint, Pain Management, Quality Management, Fall Management

  • Assist in evaluation of the effectiveness of policies and procedures and make suggestions for revision in the interest of more effective services

  • Provide clinical education to nurses

  • Perform administrative duties such as evaluations, studies and audits as needed

  • Administer and track necessary inoculations of both elders and staff. ( TB, Flu, etc.)

  • Helps maintain the physical, social and psychological environment

  • Ability to maintain professional working relationships with all nursing personnel, elders and families; present professional image to the consumer through dress, behavior and speech 

  • Participate in new staff general orientation

  • Serve on committees such as infection control, safety, Performance Improvement, Adaptive Behavior and Culture Change.  May serve as chair of some of these committees; attends department supervisor and staff meetings

  • Receives direction from Clinical  Coordinator and completes delegated tasks in his/her absence.

  • Act as Manager on Call per protocol

  • Functions as a Charge or Treatment/Medication Nurse as required, with or without notice

  • Must follow all safety procedures; reports accident/incident hazards; assist with infection control in identifying risks; follows established infection and universal precautions policies and procedures; monitor the use and handling of equipment to ensure safe usage and avoid waste or breakage

  • Maintain confidentiality of all pertinent resident care information as well as staff information; adheres to HIPAA

  • Ability to make independent decisions when circumstances warrant such action

  • Perform all other duties as requested

TALENT:

Relationship Building

Have a caring attitude and sincere interest in others

Demonstrate friendliness and enthusiasm

Build relationships with all types of people

Ability to collaborate effectively


Influencing

Clear and effective communication

Motivate and inspire others

Ability to be persuasive and negotiate


Executing

Self-directed

Ability to organize and prioritize

Ability to exercise judgment and display understanding

Detail oriented and follow through


Strategic Thinking

Solve problems effectively

Ability to problem solve and make decisions

Process information quickly and conceptually

SKILLS AND KNOWLEDGE:

  • Must have knowledge of insurance procedures, contracts, etc., covering business transactions

  • Must have basic computer operation and typing skills for data input; must be able to navigate touch screen computers

  • Knowledgeable of nursing and medical practices and procedures as well as regulations and guidelines that pertain to long term care

  • Must be knowledgeable of computer systems, system applications, and other office equipment

 EDUCATION AND EXPERIENCE:

  • Graduate from an accredited school of nursing; current RN license in the State of Colorado preferred.

  • Must have, as a minimum, three (3) years experience in an administrative supervisory capacity in a hospital or nursing facility.

  • Complete the required courses for credentialing through the American Association of Nurse Assessment Coordinators and maintain certification thereafter

Job training:  how long it usually takes to competently perform this job when the incumbent has the minimum knowledge, skills, and abilities, work experience and/or education: up to 1 year

PHYSICAL REQUIREMENTS:

  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the Green House.

  • Must meet the general health requirements set forth by the policies of this Green House, which include a mental and physical examination.

  • Must possess sight/hearing senses, or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.

  • Must be able to push, pull, move, and /or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

  • May be necessary to assist in the evacuation of elders during emergency situations.

WORK ENVIRONMENT:

  • Works in all areas of the Green House.  

  • Moves intermittently during working hours. 

  • Is subject to frequent interruptions. 

  • Is involved with elders, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.

  • Is subject to hostile and emotionally upset elders, family members, etc. 

  • Communicates with the maintenance personnel, nursing staff, and other department supervisors. 

  • Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. 

  • Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).

  • Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. 

  • Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. 

  • May be subject to the handling of and exposure to hazardous chemicals. 

 

OTHER:

  • Extensive driving to facility locations and meetings

  • Overnight stays as needed

 
We are an Equal Opportunity Employer, Gender/Minority/Veterans/Disabled.

Other details

  • Pay Type Hourly
  • Employment Indicator Regular
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