Nursing Jobs in Port Wentworth, GA

Clinical Reimbursement Mgr - RN

$82,487.45 - $107,228.73 / year

Overview Salaried position. Compensation: $82,487.45 - $107,228.73 or MORE based on experience. S chedule: Monday - Friday, On-Call Weekend Rotation (every 4 weeks) Relocation can be discussed Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi. What We Offer: Competitive pay Exceptional benefits Generous Paid Time Off - start accruing on day one 401k with company match Paid maternity and paternity benefits Award-winning training and development Tuition Reimbursement Luxury work environment Meaningful and rewarding work TidePointe, a Vi Community, is located at 700 TidePointe Way, Hilton Head Island, SC 29928 Responsibilities Collaborates with the DON, Clinical Reimbursement Specialist (where applicable) and various disciplines to complete the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON, the CRM ensures completion of the assessment within the timeframe as mandated by federal regulations and company policies. The CRM also manages the overall process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center. Responsibilities also include assisting with the coordination of the resident care planning processes. Performs other duties as assigned. This is a safety sensitive position. Principal Accountabilities / Essential Job Functions: • Reviews the clinical records, MD progress notes, therapy and nursing documentation in order to capture all care and services for optimal reimbursement. • Ensures that participants in the assessment process complete an accurate and comprehensive assessment and collaborates with the Clinical Reimbursement Specialist (where applicable)or DON to address concerns. • Tracks Medicare/Managed Carebeneficiaries to determine continued and appropriate Medicare eligibility and benefit period by determining skilled level of need. • Performs concurrent and ongoing MDS review to ensure appropriate PDPM category is achieved through the capture of appropriate clinical information. • Manages the coordination of ICD-10 coding for Medicare and Managed Care billing. • Directs the interdisciplinary team process to communicate opportunities to ensure capturing of allcare, services, and diagnosis. • Coordinates with rehabilitation services Program Director, Corporate Director of Clinical Reimbursement and Central Billing Office as needed to communicate case mix data required foraccurate claim billing at month end. • Reviews additional document requests by local Medicare Administrative Contractors, insurance carriers or auditors to ensureappropriate documentation is submitted timely for review. • Encourages staff to report changes in the resident's status and involves the DON in addressing concerns. • Confirms that residents and their families are actively involved in the information sharing and decision-making process. • Completes resident assessment protocol documents within scope of practice. • Assists with the completion of the resident care plan and the care plan conferences per requirements as requested by the DON. • Provides resident and family education as needed. • Identifies and reports deviations from safe practice to the DON. Adheres to policies and guidelines of regulatory agencies (i.e. OSHA, CMS). • Manages emergency situations based on the Company’s safety and disaster policies. • Communicates and collaborates with other members of the healthcare team to resolve resident care problems and to enhance care delivery. • Participates in quality assessment/performance improvement activities and audits. • Maintains minimum data set competencies and attends annual educational programs. • Attends/participates in care center meetings, in-services and committee meetings. • May perform CPR, use Automated External Defibrillator (AED), and render first aid in emergency situations. Physical Requirements: • Constant: Walking, must have the ability to operate in a constant state of alertness and in a safe manner. • Frequent: Standing • Occasional: Handling medical supplies and equipment, pushing up to 120 lbs. • Seldom: Bending, crouching, pulling, reaching up to 36 in., lifting Residents (70 lbs. to 300 lbs.) with use of assistive device Sensory Requirements: • Balance, tactile, hearing, smelling, near, midrange, color and peripheral vision Working Conditions: • Regular on-site physical presence is required. Qualifications Key Competencies: • Maintains a courteous and professional manner through interactions with others. • Uses a resident and customer-focused approach to problem solving and goal setting. • Uses discretion in handling confidential information, incorporating all Federal, State and local privacy and confidentiality requirements. • Must possess knowledge of regulatory compliance and Continuing Care Retirement Community operations. • Excellent knowledge of Case-Mix, and the Federal Medicare PPS process as required. • Thorough understanding of the Quality Indicator Process, and OBRA regulations. • Excellent oral and written communication skills and ability to interface and maintain effective relationships with all departments and employees in a team-oriented environment. • Computer proficiency using Microsoft Office. • Must be sensitive to the needs of older adults and enjoy working with a senior population. Education and Experience: • Education: Graduation from a School for Registered Nurses is required. • Work Experience: Minimum 3 years of previous experience in an MDS/Clinical Reimbursement Nurse role is required. • Licensure / Certification, where required: Current State Licensure as a Registered Nurse in the state where practicing is required. Current CPR and Automated External Defibrillator (AED) certifications are required. Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification, where required. The application window is anticipated to close within 30 days of the date of the posting. Pay Range USD $82,487.45 - USD $107,228.73 /Yr.

RN

Per Diem

1 month ago

Diagnostic Imaging RN

Memorial Health (GA) Savannah, GA

PRN, as needed Do you have the career opportunities as a Diagnostic Imaging RN you want with your current employer? We have an exciting opportunity for you to join Memorial Health University Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications The professional registered nurse works in collaboration with other members of the health care team to protect, promote and optimize health and ability, prevent illness and injury, alleviate suffering through the diagnosis and treatment of human response, and advocate in the care of individuals and families. The professional registered nurse incorporates creative factors from Watson’s theory into his/her practice. Practices in accordance with hospital policies and procedures, Georgia Nurse Practice Act, Professional Standards, Code of Ethics for Nursing, and the institution’s nursing philosophy, Professional Practice Model. Complies with the Memorial Health Compliance Program, related policies and procedures and the Code of Business Practices; reports instances of perceived and actual non-compliance to Team Leader or through other reporting mechanisms. What qualifications you will need: Advanced Cardiac Life Spt must be obtained within 30 days of employment start date Basic Cardiac Life Support must be obtained within 30 days of employment start date (RN) Registered Nurse Associate Degree, or Bachelors Degree, or Registered Nurse Diploma No Travel Required No experience Required Years of Experience Benefits Memorial Health University Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Memorial Health University Medical Center has provided quality healthcare services since 1955, giving patients access to highly-trained physicians and advanced technology. Our 600+ bed hospital is one of the regions leading acute care facilities that serves 35 counties across southeast Georgia and southern South Carolina. Located in Savannah, Georgia, we are a regional referral center for heart care, cancer care, trauma care, childrens care, high-risk pregnancies and high-risk newborn care. Our hospital includes the regions only Level I trauma center and childrens hospital , as well as the Savannah campus of Mercer University School of Medicine. At Memorial Health, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Diagnostic Imaging RN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.