Vivage Quality Health Partners
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Clinical Reimbursement Specialist/MDS Coordinator (RN)
at Vivage Quality Health Partners
- Requisition ID
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Are you looking for an opportunity and company that you can call home? If so, look no further. University Heights is more than a skilled nursing facility, we are a family-oriented team that is dedicated to providing quality care and services to the Aurora and surrounding communities. University Heights is actively building a team that is driven by core values that go above and beyond in meeting the needs of elders while also providing peace of mind to their families.
At University Heights, you are a part of team that is driven to be the leader in providing meaningful moments for residents, and staff. To us care goes beyond providing services, it starts with building relationships and trust with our staff, residents and families,
University Heights is unique and separates its self from other senior living facilities through values that seek to develop employees for today, and what the future may bring to their careers.
Our management company, Vivage Senior Living, is a national recognized leader and innovator in the long-term care industry. Vivage Senior Living is dedicated to person-centered care and we embrace the Eden Alternative philosophy. We bring “quality of life in aging” and “Living Well” to Long Term Care!
Currently, University Heights is seeking a Full Time CLINICAL REIMBURSEMENT/MDS COORDINATOR at their 120 bed skilled nursing community located in Auorora, CO.
The primary responsibility of the CLINICAL REIMBURSEMENT/MDS COORDINATOR is to direct, coordinate and lead MDS Systems, Medicare A, Medicare B and all other insurance providers, as well as conduct care coordination for case management following the current federal, state and local standards, guidelines and regulations that govern long term care and assisted living facilities. Incumbent is delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties to ensure appropriate reimbursement for services are provided within the Center.
- Graduate from an accredited school of nursing; current RN license in the State of Colorado preferred.
- Must have, as a minimum, three (3) years experience in an administrative supervisory capacity in a hospital or nursing facility.
- Maintains strong working knowledge of the Resident Assessment Instrument (RAI) Manual as well as complete the required courses for credentialing through the American Association of Nurse Assessment Coordinators and maintain certification thereafter.
- Be able to assess residents and relate information regarding resident’s condition.
- Must have knowledge of Medicare/Medicaid and insurance reimbursement procedures, contracts, clinical resource utilization and/or case management.
- Must have basic computer operation and typing skills for efficient data input; must be able to navigate touchscreen computers.
- Must have knowledge of office machines and equipment.
- Must be able to read, write, speak and understand the English language.
- Ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully when personnel, residents, family members, visitors, government agencies/personnel and the general public.
- Knowledgeable of nursing and medical practices and procedures as well as regulations and guidelines that pertain to long term care.
- Must have patience and enthusiasm, as well as, the willingness and ability to handle difficult residents.
- Open to new ideas and be willing to incorporate them into practice.
- Experience in rehabilitation and/or geriatric nursing is desirable.
- Competence in supervision and leadership.
- Ability to stand up in front of entire staff and present/teach.
- Complete “Nonviolent Crisis Intervention” training per facility protocol.
- Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
- Must be knowledgeable of laws, regulations, and guidelines pertaining to hospital and nursing facility administrative procedures.
- Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., necessary for providing quality care and maintaining a sound operation.
- Must be able to communicate policies, procedures, regulations, reports, etc., to personnel, residents, family members, visitors, and government agencies/personnel.
- Must not pose a direct threat to the health or safety of other individuals in the workplace.