Area Director of Utilization

Atrium Centers

$85K — $100K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nursing Degree from an accredited college
  • 5+ years of experience with RAI process and PDPM at a regional level
  • Experience across multiple facilities
  • Case Mix experience required for Ohio, Kentucky, or Wisconsin
  • Proficient in computer skills for data management and report generation
  • Strong leadership and organizational skills
  • Knowledgeable in state and federal long-term care regulations

Responsibilities

  • Monitor RAI processes including MDS accuracy and care plans
  • Oversee improvement plans for RAI processes at assigned centers
  • Participate in Quality Improvement and Corporate Compliance Programs
  • Assist in maintaining quality improvement measures
  • Foster open communication with staff and departments
  • Adhere to Corporate Standards of Conduct policies
  • Promote and support the Resident Bill of Rights
  • Ensure resident confidentiality and privacy
  • Report resident complaints and incidents promptly
  • Lead or participate in company initiatives
  • Assist in recruiting and training MDS staff

Benefits

  • 100% Employee owned (ESOP) with 401(k) matching
  • Comprehensive Medical, Dental, Vision, and Life Insurances
  • Mileage Reimbursement
  • Paid Time Off and Holiday Pay
  • Tuition Reimbursement for career advancement
  • Atrium Centers Discount Program for various services and products
Full Job Description
Provides education, training, and support to regional and center staff on the resident assessment instrument (RAI) process in accordance with all laws, regulations and standards. Reviews and coordinates PDPM, Medicare management, managed care, and case mix data for assigned area to ensure appropriate utilization of available resources. Collaborates with corporate, regional, and center interdisciplinary teams.

DUTIES AND RESPONSIBISITLES:
• Monitors RAI processes (MDS accuracy, care plans, quality measures, care mapping, utilization review meeting, triple check, etc.)
• Oversees improvement plans for RAI processes as needed in assigned centers.
• Participate in the Quality Improvement and Corporate Compliance Programs as assigned.
• Assist in ensuring that quality improvement measures are continually maintained.
• Maintain an open rapport with all staff and departments to ensure that a team effort is achieved in providing superior services in each center.
• Understand and abide by the Corporate Standards of Conduct policies.
• Understand, comply with, and promote the Resident Bill of Rights.
• Maintain resident confidentiality and privacy.
• Promptly report all resident complaints, accidents, and incidents.
• Follow Atrium Centers policies and procedures written and utilized to comply with these standards
• Lead and/or participate in company initiative projects
• Participate in recruitment, selection, and training of center MDS staff.

QUALIFICATIONS:
• Registered Nursing Degree (or diploma) from an accredited college
• At least 5 years working with RAI process and PDPM at the regional or above level.
• Multi-facility experience required.
• Experience in Case Mix required if covering Ohio, Kentucky, or Wisconsin.
• Must have adequate computer skills, to accurately input data into the MDS and transmit that data; complete spread sheets; ability to navigate the CMS and other state resource sites; ability to communicate via email; and to pull reports from various computerized sources.
• Must possess effective leadership skills, demonstrate organizational skills, and must have knowledge of state and federal regulations for long-term care.

BENEFITS:
  • 100% Employee owned (ESOP) and offer 401(k) matching
  • Medical/Dental/Vision/Life Insurances
  • Milage Reimbursement
  • Paid Time Off/Holiday Pay
  • Tuition Reimbursement - Further your career with our support!
  • Atrium Centers Discount Program - SAVE ON TRAVEL, ELECTRONICS, HEALTH AND WELLNESS, AUTOMOTIVE AND MORE

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