ESSENTIAL FUNCTIONS
1. Maintains care conferences calendar and conducts interdisciplinary meetings as needed.
2. Does comprehensive assessment of resident through medical record review, appropriate interviews, and assessment of resident.
3. Completes MDS with appropriate RAPS, and resident summary, and develops resident care plans.
4. Ensures timely completion of all aspects of the RAI process and timely transmission per State and Federal regulations.
5. As applicable, lead case management for Managed Care.
6. As directed participate in CMI meetings and billing meetings.
7. Communicate PDPM recommendations as appropriate.
8. Review the final validation report from the State and make corrections as needed.
9. Participates in the weekly Medicare Meeting and communicates pertinent MDS information.
10. Review each Medicare resident for appropriateness of Medicare coverage.
11. Obtains monthly Quality Indicator Reports and provides them to nursing management.
12. Performs other duties as directed by management.
13. Assure timely completion of all aspects of the resident assessment process and timely transmission for federal and state agencies.
14. Review and maintain the final validation report from the state and correct it as needed.
Attends meetings as assigned by the Administrator.
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