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Regional Clinical Resources Specialist - MDS

Company: Ciena Healthcare Management
Location: Southfield
Posted on: September 17, 2020

Job Description:

Responsibilities The Clinical Resources Specialist acts a consultant to organize, direct and provide training for MDS and facility staff. Some responsibilities of the Regional Clinical Resources Specialist include: Provides information and education to facility employees on the importance and use of the RAI/PPS/VA processes and their correlation to resident care and reimbursement. Managed Care, Case Mix Provides instruction on how to read, interpret and use the information contained in various state and company generated reports, such as State Missing Assessment Report, Quality Indicators/Quality Measures, State Validation, PointRight Reports, etc. Based on information derived from audits and other available data, the Coordinator provides expertise, consultation and guidance to appropriate employees to ensure MDS accuracy and adherence to company policy and procedures as well as state and federal regulations and guidelines. Through analysis of financial and clinical reports, Coordinator identifies trends and areas of improvement and ensures an appropriate action plan is completed on a monthly basis. Interviews applicants for the MDS Coordinator position and provides recommendations to the hiring authority. Oversees and coordinates the process for a thorough and timely orientation for new MDS Coordinators. Metro Detroit area Qualifications Education and/or Experience: Active RN license in state of residence or state(s) of practice, Bachelor's Degree in Nursing (BSN) is preferred. Must have, as a minimum, 5 year(s) experience with MDS (i.e., documentation, length of stay, Medicare / Medicaid reimbursement, RUGS, and regulations knowledge) long-term care facility or other healthcare related field. Experienced in PPS and OBRA assessments. Frequent travel, including some overnight stays may be required.

Keywords: Ciena Healthcare Management, Southfield , Regional Clinical Resources Specialist - MDS, Healthcare , Southfield, Michigan

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