Case Mix Coordinator - LPN

Company: PruittHealth
Location: Durham
Posted on: November 22, 2021

Job Description:

DescriptionCASE MIX COORDINATOR/MDS LICENSED PRACTICAL NURSEJoin the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses. Now is a great time to make a change and join one of the leading providers of post-acute care.PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more. Responsibilities1.---- Communicates between nursing center departments and patient/family members to gather information for an effective completion of the MDS to be used to develop a--comprehensive plan of care; establishing measurable goals, appropriate intervention, and--assignment of responsibility in delivery of care, in accordance with the patient---s wishes.--2.---- Maintains open lines of communication with consultants, supervisors, and interdisciplinary team. Have effective interviewing skills for the purpose of collecting information from patients, families, and staff members.3.---- Conducts/coordinates patient (or family) interviews in compliance with RAI process guidelines.4.---- Evaluates each patient---s condition and medical data to determine special needs.5.---- Participates in scheduling of assessment/care plan meetings and coordination of schedule with nursing center staff and others (family, therapists, etc.) to provide for appropriate--participation.6.---- Maintains compliance in participation with interdisciplinary patient assessment and development of care plans within required timeframes and in accordance to regulations within LPN Scope of Practice.7.---- Participates in the interdisciplinary review of patient assessment/care plan for accuracy--(including timeliness appropriate signatures and dates etc.)8.---- Follows RAI process for accuracy according to the RAI guidelines and other accepted standards.9.---- Participate in education with the interdisciplinary team and other staff members as needed in the RAI process.10. Identifies patient needs and make recommendation for skilled rehabilitative services as well as maintenance therapy services.11. Participates in patient care conferences. May be required to participate in nursing serviceeducational programs about patient assessment and care.12. Assists in maintaining compliance with federal, state, and local regulations.13. Be highly involved in determining skilled level of care for Medicare residents and procuring required Medicare-specific documentation; be responsible for physician certification of a skilled level of care throughout the Medicare stay; be involved in making eligibility determinations14. Coordinate care with case managers for residents utilizing managed care, health maintenance organizations (HMOs), commercial insurance, and other alternate payment--models.15. Serve as a member of the quality assessment and assurance (QAA) and/or the quality assurance and performance improvement (QAPI) committees.16. Work closely with Admissions director/Senior Nurse Navigator, Hospital medical records,and physicians to obtain accurate and complete documentation to support ICD-10-CM--diagnosis coding and surgical procedures.17.-- Audit and improve staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessments.18.-- Participate in care conferences, discharge planning, training, caregiver training, and the--provision of resources as needed19. Ensure that the residents--- rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage complaints, are--always well-established and maintained.Qualifications and Experience?-- Nursing degree from accredited college, university, or nursing program?-- Post-acute nurse and/or geriatric care nurse experience along with comprehensive understanding of RAI guidelines and CMS regulation related to completion of MDS and care plan.?-- Active Licensed Practical Nurse licensure in state of practice?-- CPR certification?-- Proof of complete COVID-19 vaccination or approved exemption within 30 days of employment?-- Proof of Flu vaccination or approved exemption within 30 days of employmentInvesting in Our Employee-Partners with Benefits----- Advance pay option----- Annual merit increases ----- Relocation opportunities ----- Paid onboarding & orientation ----- Preceptorship Program & hands-on training----- 24 / 7 direct hotline support----- Nurse Career Growth Program ----- Employee Referral Bonus Program ----- Access to PruittHealth Foundation & PruittHealth University resources----- Comprehensive health plansFamily Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth!As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.#BG1to apply please email bgraves@pruitthealth.comQualificationsJob: NursingPrimary Location: North Carolina-DurhamSchedule: Full-timeShift: 1st ShiftJob Posting: Nov 3, 2021, 11:14:20 AM

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