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GENERAL PURPOSE:
Coordinates or assists in the development and completion of the resident assessment process in accordance with the requirements of the Federal and state regulations as well as Company policy and procedures.
ESSENTIAL JOB FUNCTIONS:
• Coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state rules, regulations, and guidelines that govern the resident assessment, including the implementation of RAPs and Triggers.
• Selects the correct Assessment reference date (ARD) and correct reasons for assessment that capture all resources utilized to ensure appropriate payment by the Medicare/Medicaid systems.
• Uses company standard systems (Concurrent review when available) to manage the MDS process.
• Assists in the development of a comprehensive resident assessment and care plan.
• Disseminates any new or updated materials involving the RAI process.
• Facilitates the involvement of appropriate health professionals needed to improve or maintain the resident’s functional abilities at the highest practicable level.
• Creates an opportunity for family participation in the care planning process.
• Ensures the timely electronic submission of face validity of all Minimum Data Sets to the state database.
• Reviews the state validation reports and ensures that appropriate follow-up action is taken.
• Serves on, participates in, and attends various other committees of the facility (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor.
• Communicates with the product champions to ensure that all new nursing employees are knowledgeable of the RAI process and receive the appropriate training as directed by their supervisor.
• Communicates with the Business Office Manager and Executive Director on a regular basis regarding default days and unassigned days.
• Participates in the Medicare Part A in house review as directed by their supervisor.
• Follows company standard regarding weekly communication with the Business Office Manager on all information needed for Medicare/Medicaid billing.
• Understands, complies with and promotes all rules and regulations regarding residents’ rights; promotes positive relationships with residents, visitors and regulators, to include presenting a professional appearance.
• On call for emergencies that sup
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