Care Manager - MDS Coordinator (Registered Nurse)

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. Now accepting applications for a Care Manager - MDS Coordinator (RN). Must have valid state nursing license. Must have skilled nursing experience. Prior MDS experience preferred.

POSITION SUMMARY : Care Manager is 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. The Care Manager is responsible for optimal reimbursement, proper documentation / diagnoses to justify the reason for a skilled service and reimbursement request.

ESSENTIAL FUNCTIONS :

• 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
• Meet regulations for timely certifications / re-certifications, and signing of all orders
• Meet 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 attend all required in-service training and education sessions as scheduled.
• Other duties as assigned.

COMPETENCIES : To perform the job successfully, an individual should demonstrate the following competencies :

o People First, Always

o We Exist to Serve our Members

o We Have a Responsibility to be Full

Physical Demands, Work Environment, and Expected Hours of Work : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

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

EDUCATION AND EXPERIENCE REQUIREMENTS :

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED :

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