Senior Living Properties LLC MDS Nurse (LVN or RN) in Pearland, Texas
MDS Nurse (LVN or RN) Pearland, TX Seeking FT Clinical Case Manager / MDS Nurse (RN) or (LVN). POSITION SUMMARY: Under direction of the Administrator and supervision of the Regional Reimbursement Coordinator, the Clinical Case Manager (CCM) is responsible for the management of all processes involved with the assessment, planning, facilitation, coordination, evaluation, and advocacy for service options to meet individual resident needs. In doing so, the CCM will promote quality and cost-effective outcomes while adhering to Federal and State guidelines, and in accordance with company’s policies and procedures. ESSENTIAL JOB FUNCTIONS: •RAI processing, resident admission to discharge, maintaining clinical compliance, receiving appropriate funding from Medicare, Medicaid, Managed Care pay sources. •Completes MDS and all pertinent forms required in a timely, accurate, documentation-supported and case mix optimized manner. •Develops, with input from the interdisciplinary team members, individualized care plans reflective of the Resident Status. •Coordinates resident assessments and services by other clinical departments •In conjunction with the Business Office Manager, provides timely information for all managed care clinical authorization and justifications. •Completes the daily, weekly, and monthly assigned duties as outlined on the “Role of the Clinical Case Manager” procedure form. •Provides training and support to nurses and nurse aides on Activities of Daily Living (ADL) and other duties related to clinical case management. •Manages the daily PPS/OBRA case management meetings and weekly level of care meetings •Attends daily start up, stand up, and weekly standards of care meetings to identify resident changes that impact the MDS and/or Care Plan. •Participates in weekly standards of care meetings, monthly quality assurance and performance improvement, and triple check meetings •Attend training, meetings, and seminars when necessary •Other duties as assigned SUMMARY OF QUALIFICATIONS: •Current Texas Registered Nurse (RN) or Licensed Vocational Nurse (LVN) •Excellent communication skills written and verbal •Demonstration of proficiency in computer skills, Microsoft office and Outlook with ability to learn new applications. •Minimum Data Set and Care Plan experience preferred. •Knowledge of Medicare and Medicaid programs preferred. •Minimum of one (1) year geriatric experience, preferably with some supervisory responsibility. •Must maintain regular attendance and working long and irregular hours, including evenings and weekends, as necessary. •Competent in organizational, time management skills and able to handle multiple priorities. •Consistently demonstrate respectable judgement, strong problem solving and decision-making skills. •Must perform the essential functions of this job, with or without reasonable accommodation. Equal opportunity employer, prohibiting discrimination/harassment regardless of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local.