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Everett

    case mix coordinator - Everett, MA , USA, United States - The Rehabilitation & Nursing Center at Everett

    The Rehabilitation & Nursing Center at Everett
    The Rehabilitation & Nursing Center at Everett Everett, MA , USA, United States

    2 weeks ago

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    Description
    The Rehabilitation & Nursing Center at Everett -

    Hours (16) weekly. (Flexible schedule)


    We offer the Following:

    • Premium Compensation

    • Great Benefits Package

    • Fun, Family-Like Team, and Atmosphere

    • Work in a Beautifully Remodeled Office

    • Professional Growth & Stability

    • Innovative Training Programs


    Benefits:

    • 401(k)

    • Dental insurance

    • Health insurance

    • Paid time off

    • Vision insurance


    Case Mix Coordinator / Clinical Reimbursement LPN/RN.

    • The Case Mix Coordinator ensures all UDAs (nursing assessments) are scheduled in PCC prior to the ARDs with specific emphasis on GG and Monitors for timely completion of UDAs.

    • During the Assessment Reference period, the Case Mix Coordinator reviews GG documentation, Coordinates - GG usual performance coding with the Interdisciplinary Team.

    • The Case Mix Coordinator ensures MDS GG coding - usual performance correlates with the team final usual performance and supporting documentation is scanned into PCC under miscellaneous.

    • UDAs to be completed by the IDT include the following
      • BIMS – completed by Social Services

      • PHQ2-9 – completed by Social Services

      • Pain Interview – completed by nursing, MDS- to be scheduled /opened 5 days leading up to the ARD

      • Pain assessment – done by nursing

      • Norton – done by nursing

      • Quarterly/ Annual Assessment includes– (Falls, B&B, Norton, Pain elopement, oral) done by nursing

      • Oral assessment – annual assessment – completed by nursing

      • GG – Admission/ Quarterly/ Discharge/Annually

      • OBRA UDAs populate for admissions/ quarterly and annually – for MCR 5 days/ significant change MDS assessments – ensures the UDA are scheduled/ opened in PCC to support the MDS assessment.


    • Ensure care plans are present for all diagnosis with OBRA assessment for each resident- ensure care plan correlates with MDS with MDS GG section.

    • Ensures order to elevate head of bed is present on MAR/TAR ( you may be the one to set up the order)

    • Ensure respiratory assessments – pre and post Neb assessment and time of administration is scheduled appropriately on the eMar – (You may be the one to set up the PCC order)

    • Ensure Respiratory care plans has "elevate HOB", Resp assessments etc. on the care plan

    • Identify behaviors and ensure Behavior documentation and Behavior care plans are in place to support behavior Add ons.

    • Identify residents meeting the SUD add on criteria and communicate to Social Services and billing – ensure supporting care plan is in place.

    • Audits and collaborate with the MDS coordinator to ensure the MDS assessments have supporting documentation for what is coded on the MDS ( like MMQ supporting documentation).

    • Communicate with Administrative and Nursing leadership if UDAs are not been completed- may be required to complete assessments if nursing is unable to complete due to staffing challenges.

    • May cover for the MDS nurse during vacations/ illness etc

    • Monitors GGs for completion and accuracy minimum 3 x weekly and ensure all Care cards are in place.

    • Responsible for compliance and reimbursement maximization.

    • Reports directly to the facility Director of Nursing /Administrator and to the Corporate Director of Clinical Operations.


    Attends the following meetings

    • PDPM/ Behavior Meeting

    • Morning meetings

    • QAPI


    Minimum Job Skills / Licensure

    • Must hold a valid RN/LPN MA License

    • MMQ Experience preferred

    • Vaccination per CDC and MA DPH guidelines



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