Seeking Experienced FT Clinical Case Manager / MDS Nurse (RN) or (LVN) at our Riverside Health and Rehabilitation Facility in Kerrville, Texas.The LVN/or RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CAAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations, and Life Care standards.*What We Offer FT Employees:** Medical, vision, and dental insurance* Employer-paid life insurance* Paid time off* Paid holidays* Opportunity to build a meaningful career.*POSITION SUMMARY:*Under direction of the Administrator and supervision of the Regional Reimbursement Coordinator, the Clinical Case Manager (CCM) is responsible for the management of all processes involved with the assessment, planning, facilitation, coordination, evaluation, and advocacy for service options to meet individual resident needs. In doing so, the CCM will promote quality and cost-effective outcomes while adhering to Federal and State guidelines, and in accordance with company's policies and procedures.*ESSENTIAL JOB FUNCTIONS:** RAI processing, resident admission to discharge, maintaining clinical compliance, receiving appropriate funding from Medicare, Medicaid, Managed Care pay sources.* Completes MDS and all pertinent forms required in a timely, accurate, documentation-supported and case mix optimized manner.* Develops, with input from the interdisciplinary team members, individualized care plans reflective of the Resident Status.* Coordinates resident assessments and services by other clinical departments* In conjunction with the Business Office Manager, provides timely information for all managed care clinical authorization and justifications.* Completes the daily, weekly, and monthly assigned duties as outlined on the "Role of the Clinical Case Manager" procedure form.* Provides training and support to nurses and nurse aides on Activities of Daily Living (ADL) and other duties related to clinical case management.* Manages the daily PPS/OBRA case management meetings and weekly level of care meetings* Attends daily start up, stand up, and weekly standards of care meetings to identify resident changes that impact the MDS and/or Care Plan.* Participates in weekly standards of care meetings, monthly quality assurance and performance improvement, and triple check meetings* Attend training, meetings, and seminars when necessary* Other duties as assigned*SUMMARY OF QUALIFICATIONS:** Current Texas Registered Nurse (RN) or Licensed Vocational Nurse (LVN)* Excellent communication skills written and verbal* Demonstration of proficiency in computer skills, Microsoft office and Outlook with ability to learn new applications.* Minimum Data Set and Care Plan experience preferred.* Knowledge of Medicare and Medicaid programs preferred.* Minimum of one (1) year geriatric experience, preferably with some supervisory responsibility.* Must maintain regular attendance and working long and irregular hours, including evenings and weekends, as necessary.* Competent in organizational, time management skills and able to handle multiple priorities.* Consistently demonstrate respectable judgement, strong problem solving and decision-making skills.* Must perform the essential functions of this job, with or without reasonable accommodation.* Must have LTC experience.* Experiencing with RAI process and MDS certificationJob Type: Full-timeBenefits:* Dental insurance* Health insurance* Life insurance* Paid time off* Vision insuranceSchedule:* Monday to FridayExperience:* Utilization review: 1 year (Preferred)Ability to Relocate:* Kerrville, TX 78028: Relocate before starting work (Required)Work Location: In person
