PlanoRecruiter Since 2001
the smart solution for Plano jobs

Patient Care Coordinator/ MDS Nurse (RN/LVN Required)

Company: Cantex Continuing Care Network
Location: Plano
Posted on: November 22, 2021

Job Description:

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Facility Overview: Carrara, which is owned and operated by Cantex Continuing Care Network, is a 112-bed facility that represents the next generation in transitional, short-term care offering around-the-clock clinical support complete with a comprehensive rehabilitation program. Job Summary: The overall purpose of the Patient Care Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing. Essential Functions:

  • Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations and published interpretations.
  • Participates in the assessment of pre-admission paperwork to ensure the Patient meets qualifying medical necessity determination.
  • Attends "standup" meetings every weekday morning.
  • Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
  • Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
  • Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
  • Initiates and updates the physician certifications for each Medicare Part A Patient.
  • Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
  • Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.
  • Prepares for all Medicaid audits.
  • Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
  • Achieves at least budgeted rates expectation.
  • Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employee's responsibility to enforce it.
  • Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems. Qualifications:
    • A current, valid Texas nursing license is required (RN, LVN)
    • At least 2 years of LTC experience preferred.
    • Must have an "Acknowledgement of Completion Certificate" through the HHSC RUG Online Training for Nursing Facilities.
    • Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
    • Ability to effectively communicate, direct, and at times, delegate tasks.
    • Ability to read, write, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
    • Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.
    • Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the general public.We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

Keywords: Cantex Continuing Care Network, Plano , Patient Care Coordinator/ MDS Nurse (RN/LVN Required), Healthcare , Plano, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Plano RSS job feeds