Overview:
Smile, Youve Found Us!
Are you passionate about caregiving? Would you like to work with the best team in the world? If so, Diversicare invites you to apply.
We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve.
If you wish to make a difference in the lives of our patients and residents, APPLY NOW!
Full Time Benefits include:
Diversicare provides post-acute care services to patients and residents at 61 skilled nursing and long-term care centers in eight states, primarily in the Southeast, Midwest and Southwest United States. Together, with our team of dedicated healthcare professionals, we leverage our diverse strengths to provide each patient and resident with healthcare serves that best meet their needs.
It is Diversicares Mission to Improve every life we touch by providing exceptional healthcare and exceeding expectations.
We are guided to excellence by five Core Values: Integrity, Excellence, Compassion, Teamwork and Stewardship, as well as 12 Service Standards.
We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence. Our Service Standards are in place to offer support. They lead us to what matters most to our company: creating a warm, caring, safe and professional environment for our customers and each other.
Our culture of impassioned service delivery is the Diversicare Difference .
Responsibilities:1. Facilitates the RAI Process under the direction of an R.N. or DNS
2. Work in Collaboration with the interdisciplinary team to identify the needs of the patient/resident.
3. Coordinates and conducts the daily Case Management meeting.
4. Ensures timely MDS assessments according to state and federal regulations.
5. Ensures interdisciplinary team completes designated sections of the MDS assessment.
6. Ensures and completes accurate coding of the MDS assessment with information obtained via medical record review, observation and interview with center staff, patients, residents and family members.
7. Ensures documentation is available to support accurate coding of the MDS assessment.
8. Maintains the tracking system of MDS assessment schedules (timeframes and due dates).
9. Facilitates Care Plan conferences with the interdisciplinary team, patient, residents and families.
10. Obtain, review and maintain all State and Federal reports, making appropriate corrections
timely.
11. Monitors Quality Measures and ensures that MDSs are accurate to support and reflect the
Quality Measures.
12. Provides education related to the RAI Process
13. Coordinates and completes electronic submission of required documentation to the State
data base and other entities per company guidelines and State and Federal regulations.
14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely
(i.e.: certifications, denial letters, skilled documentation, coverage criteria, etc)
15. Provides Managed Care case management at the center level.
16. Reviews Additional Documentation Requests (ADRs) with Health Information
Management Coordinator (HIMC) to ensure all documents are available and meet the
request.
17. Participates in billing reviews (Triple Check) to ensure claims have supporting MDS
assessments documents.
18. Participates in Quality Assurance and Process Improvement Activities.
19. Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAI
Process and computer technology updates.
20. May be required to fulfill the job functions of a direct care nurse as determined by the needs of
the patients/residents and center
1. Must hold current nursing license in the state of employment.
2. Experience in Long Term Care.
3. Computer skills.
4. Knowledge of Medicare, Managed care and RAI Process Required.
5. Participating in the LPN to RN Back to School transition program.
Diversicare is committed to being an equal opportunity employer. Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.
(EOE)
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