Care Manager - MDS Coordinator (Registered Nurse)

    Posted 5 days ago
    Spartanburg, SC · Onsite

    Full Time

    Onsite

    About the job

    Care Manager - MDS Coordinator (RN)

    Now offering a $2,500 sign-on bonus for a limited time! At Summit Hills, we are proud to be recognized as a Great Place to Work, and we believe that our success begins with one simple principle: People First. We are a luxury senior living company that is driven by compassion, respect, and the dedication to making every interaction meaningful. Our culture fosters growth, teamwork, and a genuine commitment to enriching the lives of our residents and our team members. If you're passionate about providing exceptional care in an environment where you're valued and supported, we invite you to be part of a company that truly puts people at the heart of everything we do.

    Job Description

    • Responsible for the development, maintenance, and implementation of the standards of nursing practice and objectives as it relates to the Minimum Data Set requirements and with the established policies and procedures of the governing body in compliance with federal, state, and local regulations.
    • Responsible for optimal reimbursement, proper documentation/diagnoses to justify the reason for a skilled service and reimbursement request.
    • Coordinates/manages and works with clinical staff/therapy for proper documentation/care, programs, and optimal reimbursement throughout the stay of a skilled resident.
    • Researches all pertinent medical information/diagnoses for optimal reimbursement.
    • Meets regulations for timely certifications/re-certifications, and signing of all orders.
    • Meets all requirements in working with Managed Care organizations.
    • Daily meetings with therapy and line staff on progress of skilled residents.
    • Monitors nursing skilled documentation and provides continued education as needed.
    • Participates in the development and implementation of the resident assessment process, following the Minimum Data Set requirements of federal, state, and local regulations in accordance with Senior Living Communities/Wellmore policies and procedures.
    • Responsible for proper ADL documentation and continued education/training.
    • Audits and analyzes the MDS documents for accuracy and appropriate completion dates.
    • Timely submissions of all MDS's.
    • Oversees and schedules resident care planning meetings.
    • Assistance on floor and on-call/manager on duty as needed.
    • Participates in and attends all required in-service training and education sessions as scheduled.
    • Other duties as assigned.

    Requirements

    • Must have a valid state nursing license.
    • Must have skilled nursing experience.
    • Prior MDS experience preferred.
    • Four-year college or university degree desired.
    • Current state licensure as a Registered Nurse.
    • Training in Medical Records regulations desired.
    • Understanding of diagnosis coding.
    • Working knowledge of prescription drugs, therapy practices, and bio-psycho-social sciences.
    • Remain in good standing with all standards of the Nurse Practice Act.
    • Two years' experience in a similar healthcare position preferred.

    Knowledge, Skills, and Abilities Required

    • Ability to read, write, speak, and understand English fluently.
    • Ability to meet or exceed the company's attendance and punctuality standards.
    • Ability to use electronic records and miscellaneous software and office equipment.
    • Ability to understand and follow directions as given.
    • Ability to work with minimal supervision.

    Physical Demands

    • This position is very active and requires frequent standing, walking, bending, kneeling, stooping, and climbing.
    • This position will be required to lift or carry weight up to 50 lbs. and ability to push up to 250 pounds independently.
    • The individual must use proper body mechanics to assist residents in their daily living.
    • This position regularly requires long hours and frequent night and weekend work.

    Travel

    No travel is expected although occasional travel may be required for training sessions, continuing education opportunities, emergency situations, and other company functions.