Greenwood Hometown Center for Nursing is seeking a personable Registered Nurse Assessment Coordinator (RNAC) to maintain the standards of Nursing Care and practices within the facility to meet the physical, psychosocial, and rehabilitative needs of our residents.
Join us and grow your skills as part of our caring and compassionate multidisciplinary healthcare team that is focused on enriching the lives of our patients every day.
Job Summary
The primary purpose of this position is to provide management of resident care as related to the Resident Assessment Instrument (RAI) process, in accordance with federal and state regulations, and as directed by the Administrator. The CCC is expected to have access to and follow the most recent version of the RAI User’s Manual at all times.
The CCC is accountable for helping achieve the organization’s goals for positive outcomes. This is to be achieved through effective processes, monitoring, training and implementing systems that will lead to appropriate MDS completion and submission, care planning, billing practices. Utilization of resident’s benefits and accurate reporting of quality measure data.
Essential Job Specific Duties and Responsibilities
- Conduct initially and periodically a comprehensive, accurate standardized, reproducible assessment of each resident upon admission, annually (not less frequently than every 366 days) and whenever a significant change is identified in the resident’s status as defined in chapter 2 of the RAI User’s Manual.
- Assess every resident using the quarterly item set not less frequently than once every 92 days.
- Conduct PDPM assessments, including timely opening and completion, as outlined in Chapters 2 and 6 of the RAI User’s Manual.
- Ensure clinically accurate coding and completion of the MDS assessments utilizing MDS verification software.
- Provide oversight of assessment completion and transmission to the national repository.
- Review final validation reports and corrections or modifications in response to warnings or errors as needed.
- The baseline care plan will be reviewed prior to issuance to resident and/or resident representative according to Regulatory regulation.
- Assign and coordinate the work of health professionals toward accurate and timely completions of MDS assessments and care plans.
- Communicate all MDS schedules and schedule changes to the IDT.
- 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 through the Medicare stay; be involved in making eligibility determinations utilizing Dorado forms and clinical documentation.
- Coordinate care with case managers for residents utilizing managed care, health maintenance organizations (HMOs), commercial insurance, and other alternate payment models.
- Conduct weekly utilization review meeting to ensure holistic care of residents and assist in developing a safe discharge plan.
- Ensure compliance with state-specific regulations regarding the RAI process.
- Obtain Quality Measure, SNF QRP and Five Star reports at least monthly to review with the clinical team. Provide insight and analysis of MDS-based Quality Measures.
- Lead Quality Rounds weekly to identify Residents with potential clinical changes.
- Serve as a member of the quality assessment and assurance (QAA) and/or the Quality Assurance and Performance Improvement (QAPI) committees.
- Work closely with Facility Admission Directors and Physicians to obtain accurate and complete documentation to support ICD-10 diagnosis coding and surgical procedures.
- Participate in Pre-Admission Huddle, enter ICD-10 codes in PCC, identify Primary, Secondary, Third, etc.
- Audit and improve staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessments.
- Participate in 48-72 hour meetings, care conference to ensure revision of care plans, discharge planning to determine discharge goals, and the provision of resources as needed.
- Participate in facility Triple Check to ensure accurate and timely billing.
- Foster effective working relationships and build consensus.
- Maintain confidentiality of sensitive information.
- Plan, organize, prioritize, work independently, and meet deadlines.
- Use judgment and make sound independent decisions.
- Work effectively with individuals at all levels of the organization, as well as with residents, family members. Visitors, government personnel, and the public.
- Speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job.
- Be knowledgeable of regulations, practice standards, and procedures, as well as laws, regulations, and guidelines pertaining to the RAI process.
- Possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary to ensuring the accurate a timely completion of the RAI documents.
- Have the ability to learn computer systems, system applications and related office equipment.
- Ensure that the resident’ rights to fair and equable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage complaints, are always well-established and maintained.
Job Requirements
- Must be a Registered Nurse (RN). Licensed Practical Nurse (LPN) may be hired in secondary
- Clinical Care Coordinator Position with RN oversight.
- MDS experience or certification is preferred.
- Desired traits: integrity, attention to detail, accuracy, time-management skills, ability to meet deadlines critical thinking skills, and problem-solving skills.
Physical Requirements and Working Conditions
- Work in well-lighted/ventilated office areas, as well as throughout the nursing service areas.
- Sitting, standing, bending, lifting, and moving intermittently during working hours.
- Subject to frequent interruptions
- May be required to lift residents, medical equipment, and supplies
- Is subject to exposure to infectious waste, diseases, and conditions, including tuberculosis and the AIDS/HIV and Hepatitis B viruses.
- Be economical and careful with supplies and equipment
- Must possess sight/hearing senses or use prosthetics that enable these senses to function adequately so that the requirements of this position can be fully met.
- Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
