Just pay $20 and get your dream job within 2 days ( Only For OPT Candidates ) HURRY UPENROLL NOW
+

Coordinator-Clin Case LPN NonExempt (Full Time)

Milford Center - Genesis HealthCare – Milford, MA

COME ON DOWN AND JOIN A GREAT TEAM, SIGN ON BONUS AVAILABLE.
POSITION SUMMARY: The Clinical Case Coordinator (LPN) coordinates the development, completion and transmission of the resident assessment in accordance with the regulatory requirements, reviews and manages reimbursement in compliance with Genesis policies and procedures. Responsible to case manage residents covered by either Medicare or Managed Care insurance programs.

RESPONSIBILITIES/ACCOUNTABILITIES:
1.Coordinates the completion of the resident assessment (MDS), Triggers and RAPs in accordance with current rules, regulations and guidelines that govern the resident assessment.
2. Responsible for maintaining the calendar and assessment communication board.
3. Participates in at risk Action Team meetings as directed by administrator.
4. Assist with education and overall plan of care.
5. Identify change in condition in conjunction with IDT.
6. Conducts and coordinates facility daily PPS meetings and IDT Process and Claim review.
7. Coordinates appropriate length of stay for skilled nursing and rehab residents in conjunction with IDT.
8. Reviews documentation to ensure state, federal and third party payor guidelines are met to support skilled coverage in conjunction with IDT.
9. Coordinate submission assessments through LTCQ program and makes the recommended corrections or documents justification on report.
10. Participates in the facility Quality Management. Serves on Revenue Enhancement Committees and develops/implements improvement.
11. Participates in the review Quality Indicator report and Resident Specific Profile no less than monthly. Analyzes and addresses flagged areas in conjunction with the interdisciplinary team. Provides Administrator and Director of Nursing Services with the QI Report and an analysis of flagged areas.
12. Attends/participates in educational programs to maintain knowledge current with RAI/PPS regulations.
13. Attend facility in-services and department/facility meetings as applicable.
14. Maintains and implements department policies and procedures, ensures staff compliance.
15. Ensures that all OSHA and safety standards are followed, as applicable to the position and in the business location or workplace.
16. Maintains safe and clean work area and adheres to location/company safety standards for the healthcare professional.
17. Complies with all Infection Control, Standard Precautions and OSHA standards for the healthcare professional.
18. Complies with applicable legal requirements, standards, policies and procedures including but not limited those within the Compliance Process, Code of Conduct and HIPAA.
19. Provides leadership and support for the Compliance Process within management area.
20. Promotes adherence to applicable legal requirements, standards, policies and procedures as specified within the Compliance Process, Code of Conduct, Federal False Claims Act and HIPAA within management area.
21. Distributes compliance-related materials within management area.
22. Ensures timely and accurate reporting and responses to compliance-related issues and monitors the implementation of corrective action plans related to such issues.
23. Ensures that staff participates in orientation and training programs including but not limited to all required compliance courses and relevant policies and procedures, and that such training is properly documented.
24. Provides open lines of communication regarding compliance issues within management area through the Four Step Reporting Process and access to the confidential disclosure program reporting lines and ensures that retaliation against staff who report suspected incidences of non-compliance does not occur. Reports concerns and suspected incidences of non-compliance using the 4-Step Reporting Process.
25. Participates in monitoring and auditing activities and investigations, and implementing quality improvement processes, as required.
26. Completes performance reviews and determines compensation and promotions based on the accomplishment of established standards that promote adherence to compliance and quality standards.
27. Participates in compliance and other required training programs.
28. Prepares compliance reports, as required.
29. Adheres to location protocols and department/company policy and procedures.
30. Adheres to established HIPAA confidentiality standards of patient/resident and client location information.
31. Maintains on-site regular attendance as scheduled.
32. Performs all other tasks or duties as assigned.


CCNL


QUALIFICATIONS:

SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:1. LPN/LVN degree required.2. Preferred experience in long-term care.3. Demonstrated proficiency in RAI/PPS processes.4. Current LPN/LVN license and/or certification in state of employment.

Position Type: Full Time
Req ID: 306111
Center Name: Milford Center

All Jobs in Milford, MA

  • Coordinator-Clin Case LPN NonExempt (Full Time)

    Milford Center - Genesis HealthCare Milford, MA

    View Job
  • School Counseling Department Secretary

    Medway Public Schools Medway, MA

    View Job
  • Business Operations and Planning Advisor – Office of CTO

    DELL Hopkinton, MA

    View Job
  • Help Wanted

    Pizza Queen Bellingham, MA

    View Job
  • Automotive Technician/Mechanic - Experienced & Entry Level

    Bernardi Toyota Framingham, MA

    View Job
  • Auto Parts delivery with your own vehicle

    Auto parts store Framingham, MA

    View Job
  • Reading Specialist

    Milford Public Schools Milford, MA

    View Job
  • Residential West Float Support Staff- 40 Hours

    HMEA (Horace Mann Educational Associates) Franklin, MA

    View Job
  • Customer Service Specialist

    A Mechanical Contracting Company Ashland, MA

    View Job
  • Diesel Mechanic

    Arts Towing Milford, MA

    View Job
  • Procurement/Sourcing Specialist

    Thermo Fisher Scientific Franklin, MA

    View Job

Featured Articles

IT Internship / Training And Placement For Opt Students On F1 Status

25 September 2015

IT Training comprises of Computer Science and Software Engineering courses. There is huge career growth in the field of IT with high monetary gain. The prospectus of individual’s growth is also high. It is a broad field inclusive of the areas like programing, coding, developing, designing, tech

read more..

Want OPT Extension? Here Are Some Tips

25 September 2015

Optional Practical for international students is of 12 months long. It can be carried out in chunks while the student is pursuing the graduation. Once the graduation is completed, they have to use the OPT time period as one whole slot. After the OPT work status end th

read more..

Hadoop Training – Learn from the Best !

09 May 2016

❯ Hadoop : What is it? Hadoop is an open-source software framework for storing Big Data and running applications on clusters of commodity hardware. It is a free, Java-based programming framework. It supports storing and processing large data-sets in a parallel distributed com

read more..

Oracle Apps DBA Online Training – Optnation.com

03 May 2016

Oracle Apps DBA is the most successive DB management technology because of its salient features: grid computing, excellent manageability, grid computing, ease of use, and internet integration. It requires specialized skills in business administration. Its role is less compartmentalized than traditio

read more..

Thanks For Your Feedback

Attach A Resume First