Regional Case Mix Consultant—MO/IL
Tara Cares is hiring an experienced Registered Nurse (RN) or Licensed Practical Nurse (LPN) with MDS experience as the Regional Case Mix Consultant to cover locations in Missouri and Illinois! We are looking for a full-time Case Mix Consultant to take a leadership role in long-term care facilities in Missouri and Illinois. The ideal candidate will be located in the St Louis, MO area. Are you a passionate professional nurse, RN or LPN, with high ethical standards? Do you have expertise in RAI/MDS coding and Medicare/Medicaid rules and regulations? Do you have a positive, helpful, and enthusiastic attitude and want to join a like-minded skilled nursing team of professional that will appreciate what you have to offer as an MDS nurse coordinator? Are you looking for a well-respected and supportive company that can offer you opportunities for professional growth? If so, please read on.
This Regional Case Mix Consultant position pays a very competitive salary commensurate with experience. We also offer excellent benefits including medical, dental, vision, HSA, AD&D, a 401 (k) plan, generous paid time off, optional short-term/long-term disability, flex benefit plans, a continuing education/licensure allowance, on-site training, a web-based training program that can be used for continuing education, and a car allowance. If this sounds like the opportunity in long-term care that you've been looking for, apply today!
ABOUT THE COMPANY
The primary focus is on providing patients with the best possible care by providing our employees with the high-quality education and training needed to be leaders in the industry. Employees have access to the latest technology regarding nursing programs, technology, treatment approaches, and documentation. They are invested in the success of each team member, providing not only exceptional pay and benefits, but a very supportive work environment.
A DAY IN THE LIFE AS A REGIONAL CASE MIX CONSULTANT
As a Regional Case Mix Consultant you will travel daily to facilities in Missouri and Illinois. You arrive each day happy to assist the facilities in verifying correct and compliant utilization of Medicare and Medicaid. You love the collaborative spirit of the region where you will work under the direction of the Director of Case Mix Management to support facilities in the region. You will travel to locations within the region offering support by educating facility staff on Medicare and Medicaid rules and regulations, and conducting routine audits to see that Federal and State rules and regulations as well as established policies and procedures are followed. You are willing to stay at one of the satellite locations as long as it takes to get the job done. You will bring specialized knowledge of the MDS process and of developmental factors specific to adult and geriatric residents to help effectively plan and deliver the best individualized care for each of the patients whether challenged with orthopedic issues, neurological diseases, or complex medical conditions.
You will work with facility based MDS Coordinators as they complete patient assessments and complete MDS assessments. You will also bring your knowledge of MDS coding as defined in the RAI manual. You will bring your good communication skills to educate other MDS Coordinators on selecting the correct codes and completing MDS assessments for payment. Your attention to detail is essential to your success, as you keep up-to-date and accurate records, develop action plans and manage your own schedule. And, your collaborative skills come into play as you play an active role as a part of the regional clinical operations team. After a day of hard work, you feel great about the impact you have made in the region in their understanding of the MDS process and maintaining compliance.
QUALIFICATIONS FOR A RESTORATIVE NURSE
- Maintains a current, valid license as an LPN, or RN, BSN preferred, and is in good standing. Possesses strong knowledge of state, federal, and local regulations as they pertain to long-term care.
- Previous MDS 3.0 experience required.
- Consulting experience preferred.
- Additional education or experience in rehabilitative and geriatric nursing is preferred.
- Demonstrates knowledge of age specific developmental factors specific to adult and geriatric residents (i.e., physical, cognitive, and socialization factors) as it applies to clinical reimbursement.
- Demonstrates knowledge of the Medicare and Medicaid RUG grouper categories and documentation guidelines.
- Demonstrates knowledge of analyzing and tracking the Case-Mix Roster for IL report and making recommendations accordingly.
- Ability to travel 75-100% of the time and stay overnight at satellite locations as necessary.
- Reside within the coverage area.
Are you committed to safety and conscientious about following OSHA and other established procedures? Do you present yourself professionally? Are you patient-focused and always eager to learn and improve? Do you have respect for privacy and confidentiality? Are you a self-motivated team player? Do you have the ability to be tactful and sensitive to the emotional needs of others? Are you a problem solver? If so, then you might just be perfect for this Regional Case Mix Consultant position!