RN Director Case Management / MDS Coordinator

Diversicare of Phenix City

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Degree in nursing, therapy, or related clinical field required; RN license must be current.
  • Experience with Minimum Data Set (MDS) assessments.
  • Strong understanding of healthcare reimbursement and utilization management processes.
  • Proven track record of providing strategic leadership and team management.
  • Ability to develop and execute short- and long-term strategic plans.
  • Excellent verbal, written, and interpersonal communication skills.
  • Knowledge of Patient Driven Payment Model (PDPM) and regulatory compliance.

Responsibilities

  • Facilitate daily care coordination meetings to align resources with patient needs.
  • Lead Engage/72 HR Admission meetings within the care management system.
  • Manage and integrate the restorative nursing program with activities.
  • Communicate changes in patient conditions to families and assist with discharge planning.
  • Collaborate with the clinical team to create and execute care plans.
  • Coordinate post-discharge communication, including home health and DME services.
  • Monitor Quality Measures in cooperation with the care coordination team.

Benefits

  • Comprehensive healthcare coverage options.
  • Support for continued education and professional development.
  • Access to employee wellness programs.
  • Flexible working arrangements to promote work-life balance.
  • Employee assistance programs for personal support.
Full Job Description
Overview

Lead the Way as a Director of Case Management at Diversicare!

Responsibilities

  • Facilitate daily care coordination meetings to align care resources with patient needs and benefits.
  • Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.
  • Manage the restorative nursing program, integrating it with the activity department.
  • Ensure timely communication with patients and families regarding changes in condition and discharge planning.
  • Collaborate with the clinical team to develop and execute care plans.
  • Coordinate discharge planning and post-discharge communication, including home health and DME.
  • Monitor Quality Measures alongside the care coordination team.
  • Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.
  • Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.


Qualifications

  1. Degree in nursing, therapy or other related clinical field (i.e. social services), must hold an RN current license in respective field.
  2. MDS experience
  3. Knowledge of healthcare reimbursement, utilization management, and discharge planning.
  4. Experience providing strategic leadership, managing teams and leading projects required.
  5. Ability to formulate and implement short and long term strategic plans
  6. Strong verbal, written and interpersonal skills.
  7. Must have proven ability to lead a team to achieve desired outcomes of team
  8. Strong communication and organizational skills required
  9. Must have knowledge of PDPM requirements of insurers
  10. Must have understanding of regulatory requirements
  11. Previous case management experience preferred

(EOE)

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