Health insurance specialist Jobs in Thornton, CO

Willow Tree Care Center - Delta, Colorado

Registered Nurse - RN MDS Coordinator Skilled Nursing Community

One Day Per Week & PRN as needed

Pay Rate - $37.45Hr. - 47.08Hr

FUNCTION :   Overall coordination of the facility Medicare Program, Resident Assessment Instrument (MDS) and care planning processes.

QUALIFICATIONS :  The requirements listed below are representative of the knowledge, skill and / or ability required. Minimum Qualifications :

• A licensed registered nurse with health care experience in an acute or long-term care setting preferred.
• The MDS / Medicare Coordinator activities may be carried out by an LPN / LVN under the direction / supervision of an RN.
• Current unrestricted state license to practice as a nurse.
• Current CPR certification and additional certification in nursing specialty desired

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES :  To perform this job successfully, an individual must be able to perform each key function satisfactorily.

1. Maintains current knowledge of applicable managed care, Medicare, and state Medicaid regulations.

2. Maintains current knowledge of federal / state regulations regarding the MDS and care planning process.

3. Demonstrates ability to accurately complete all resident assessments and appropriate care plans to meet resident care needs.

4. Assists with pre-admission screenings to determine / prepare for resident care needs.

5. Maintains current MDS status of every resident according to state / federal guidelines.

6. Schedules residents for appropriate admission, quarterly, annual or change of condition resident assessment and oversee communication to nursing and other departments.

7. Responds to resident condition changes by coordinating re-assessments / revisions to the plan of care. SNF MDS COORDINATOR Job Description

8. Monitors MDS and care plan documentation on all residents, assuring that complete, organized and chronological documentation is on file in the resident chart.

9. Coordinates and facilitates interdisciplinary team meetings to gather information / data, communicate changes and maintain / update records.

10. Maintains frequent / accurate entry of resident information into the computerized MDS program.

11. Assists in orientation / in-service education programs for appropriate staff on the MDS / care planning and Medicare processes.

12. Ensures that the quality and appropriateness of resident care meets or exceeds facility guidelines and ensure that all nursing care / services meets state and federal legal / regulatory and reimbursement guidelines.

13. Coordinates the implementation of the Medicare / PPS program guidelines

14. Monitors documentation to ensure compliance with program guidelines (physician orders, MD certifications / re-certifications, daily notes, denial documentation / letters)

ABOUT US –  Springs Village is part of Stellar Senior Living, a premier assisted living and skilled nursing provider in the Western United States. Founded in 2012 we have experienced consistent growth adding senior living communities to our family each year. We continue to grow and are looking for top talent to join our team and continue this journey with us.

The Colorado Job Application Fairness Act (JAFA) prohibits employers from asking prospective employees to disclose any age-related information.  Therefore, Colorado applicants are not required to disclose their age, date of birth, dates of schooling or graduation, or other age-related information.  Furthermore, Colorado applicants may wish to redact age-related information from their application materials, such as résumé or schooling transcripts