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RN Medicare Specialist

Company: ThedaCare
Location: Oshkosh
Posted on: February 24, 2021

Job Description:

The Medicare Specialist coordinates the RAI process and ensures the timelines, accuracy, and completeness of the MDS, CAAS, and Interdisciplinary Comprehensive Care Plans. You ensure that clinical documentation is accurate and complete, and meets federal, state, and certification guidelines FACILITY DETAILS:Peabody Manor is a 58-bed Skilled Nursing Facility that provides three post-acute rehabilitation units as well as one long term care unit. Peabody Manor is a 5-Star facility that takes pride in the care provided to our residents, as well as promoting a team-driven atmosphere that empowers all staff members. Peabody staffs a high per patient day ratio to ensure quality outcomes for patients and staff satisfaction.
Come Join our Team! Here is a short video on our staff:
KEY ACCOUNTABILITIES:

  • Coordinates the resident Minimum Data Set (MDS) assessments, communicates with other team members who need to complete interviews prior to Assessment Reference Date (ARD), and completes sections on the MDS for successful submission to CMS.
  • Tracks therapy minutes, ARD dates, and need for Change of Therapy Assessments to ensure the correct MDS is completed to maintain regulatory compliance.
  • Completes assessments/interviews for MDS completion prior to ARD date.
  • Ensures MDS assessments are completed within time constraints and prepared for submission to CMS.
  • Obtains Medicare recertifications to support the need for continued skilled service.
  • Monitors resident condition for the need of a Change of Condition MDS Assessment to be completed as required by CMS.
  • Audits charting while working through MDS data compilation and follows up with team members as needed for errors/education on coding/documentation.
  • Uses MDS and CAA information to formulate the resident's Comprehensive Care Plan, and updates the care plan as needed with assessment information.
  • Analyzes the CMS 5-Star, Quality Measure and Quality indicator reports to ensure high quality and safety measures are in place.
  • Participates in an on-call rotation with other Nursing Leadership
  • Plays an integral role as a member of the nursing team as well as the Interdisciplinary Team to provide quality care to those that we serve.QUALIFICATIONS:
    • Current Wisconsin RN Licensure
    • Bachelor's of Science in Nursing (BSN) OR Associates Degree in Nursing with an agreement to obtain the BSN within five years.
    • Preference of Experience in MDS Role/Completing MDS Assessments

Keywords: ThedaCare, Oshkosh , RN Medicare Specialist, Healthcare , Oshkosh, Wisconsin

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