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Patient Care Coordinator/ MDS Nurse (RN or LVN)

Company: Cantex Continuing Care Network
Location: Houston
Posted on: January 14, 2021

Job Description:

Facility Overview:Ashford Gardens, which is owned and operated by Cantex Continuing Care Network, is a 202-bed skilled nursing and rehabilitation center. We are currently seeking a full-time Patient Care Coordinator/MDS Nurse (LVN or RN)!Job Summary:The overall purpose of the Patient Care Coordinator/MDS Nurse position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.Qualifications:* A current, valid Texas nursing license is required (RN, LVN)* At least 2 years of LTC experience preferred.* Must have an "Acknowledgement of Completion Certificate" through the HHSC RUG Online Training for Nursing Facilities.* Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.* Ability to effectively communicate, direct, and at times, delegate tasks.* Ability to read, write, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.* Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.* Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the general public.Essential Functions:* Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations and published interpretations.* Participates in the assessment of pre-admission paper work to ensure Patient meets qualifying medical necessity determination.* Attends "standup" meetings every weekday morning.* Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.* Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.* Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.* Initiates and updates the physician certifications for each Medicare Part A Patient.* Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.* Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.* Prepares for all Medicaid audits.* Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

Keywords: Cantex Continuing Care Network, Houston , Patient Care Coordinator/ MDS Nurse (RN or LVN), Other , Houston, Texas

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