Job Description
Job Description
Join the RegalCare of Greenfield Team!
At RegalCare of Greenfield, we are dedicated to providing exceptional care to our residents while supporting our staff with a positive, team-focused work environment. We are currently seeking a Clinical Reimbursement Coordinator professional to join our team.
Responsibilities:
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Oversee and facilitate the completion of resident assessments in accordance with Federal and State regulations
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Establish assessment schedules and ensure that assessments are done in an accurate and timely manner
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Transmitting assessments to the State of Connecticut, Department of Health
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Coordinate resident care plans in accordance to regulatory requirements, ensuring that resident care is delivered effectively
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Initiate Medicare coverage for newly qualified residents and sending denial letters when necessary
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Remain updated on changes in Medicare coverage and help determine documents necessary for reimbursement.
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Coordinates the assessment, planning, implementation and evaluation of resident care by following the MDS process.
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Coordinates and facilitates care conferences with the interdisciplinary team.
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Coordinates, completes and reviews Minimum Data Sets (MDS)
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Educates, trains and assists nursing staff and other departments regarding the roles of assessments, planning, implementation and MDS process; and completion of applicable sections of MDS.
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Responsible for ensuring all current MDS/PPS updates are implemented and staff is in-serviced.
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Will cross train between PPS and OBRA.
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Conducts regular resident interviews as required by the MDS
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Requirements:
Must be a licensed Massachusetts RN or LPN
Minimum 1 year of experience as a MDS Coordinator
Strong communication, organizational, and assessment skills
Why RegalCare of Greenfield?
Supportive, collaborative team environment
Opportunities for professional growth
Comprehensive benefits package