The RN - Case Management Coordinator is responsible for coordinating clinical operations to ensure compliance with Medicare guidelines and managed care case management policy.

Job Description:

The RN - Case Management Coordinator will perform all or some of the following Job description:

• Identify Medicare entitlement and eligibility for prospective residents

• Complete weekly chart audits to assess documentation support for skilled Medicare coverage

• Monitor MDS documentation and charting requirements that support services provided to meeting billing requirements

• Chart MDS and pertinent narrative data to optimize case mix scores

• Conduct daily assessments of Medicare patients and coordinate therapy, care mapping and discharge planning

• Conduct weekly Medicare/case management meetings to review plan of care

• Perform other tasks as assigned

• Conduct job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

Minimum Requirements / Knowledge / Skill For RN - Case Management Coordinator Job

• Three years of nursing experience in a long term care environment

• Ability to work cooperatively as a member of a team

• Ability to communicate effectively with residents and their family members, and at all levels of the organization

• Knowledge of Medicare regulations

• Ability to be accurate, concise and detail oriented

• Ability to maintain confidentiality.  

Minimum Education Requirements / Certification / Licensure For RN - Case Management Coordinator Job