Vivage Quality Health Partners
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Clinical Reimbursement MDS Coordinator RN
at Vivage Quality Health Partners
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
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.
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
Have a caring attitude and sincere interest in others
Demonstrate friendliness and enthusiasm
Build relationships with all types of people
Ability to collaborate effectively
Clear and effective communication
Motivate and inspire others
Ability to be persuasive and negotiate
Ability to organize and prioritize
Ability to exercise judgment and display understanding
Detail oriented and follow through
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
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.
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.
Extensive driving to facility locations and meetings
Overnight stays as needed
- Pay Type Hourly
- Employment Indicator Regular