Regional MDS Manager
About Us
Southern HealthCare Management is a family of 44 skilled nursing and rehabilitation centers throughout Florida, Georgia and North Carolina. With corporate offices in Orlando, FL (Casselberry), Atlanta, GA and Raleigh, NC, we are dedicated to promoting and directing high quality nursing care and rehabilitative services to meet the physical, emotional and social needs of those who are served.
Our Service Standards:
- Sincere Appreciation…for everyone
- Hearing Needs…and responding quickly
- Caring Approach…in everything we do
- Managing Situations…for positive outcomes
About the Role
As an MDS Clinical Process Analyst at Southern, you will be part of a large-scale healthcare operations organization that provides management and oversight of 42 Long-Term Care and Rehabilitation centers across FL, NC, and GA. You will utilize your expertise in the Resident Assessment Instrument (RAI) process, the Patient Driven Payment Model (PDPM), Quality Measures (QMs), and Medicaid Case Mix and Medicare guidelines for your region of assignment in the State of Florida.
You will make site visits to implement programs, educate staff, and ensure compliance with federal and state guidelines. You will serve as a liaison between the local center, regional leadership, and the VP of Rehabilitation Services and Case Mix to develop and implement strategies and plans that enhance and promote departmental goals. The primary goal is to promote proper clinical reimbursement for services rendered through the MDS process and ensure compliance with federal and state guidelines regarding the RAI process.
Due to the proximity of the centers this role will support, the ideal candidate will reside in the Raleigh/Durham area with flexibility to travel and visit centers as needed.
Responsibilities
- Utilize expertise in the RAI process, PDPM, Quality Measures, and Medicaid Case Mix and Medicare guidelines.
- Make site visits to implement programs, educate staff, and ensure compliance with federal and state guidelines.
- Serve as a liaison between local centers, regional leadership, and the VP of Rehabilitation Services and Case Mix.
- Develop and implement strategies and plans that enhance and promote departmental goals.
- Promote proper clinical reimbursement for services rendered through the MDS process.
- Ensure compliance with federal and state guidelines regarding the RAI process.
Requirements
- Associate's Degree or above in Nursing (ASN) required.
- Five (5+) years licensed RN experience required.
- Three (3+) years MDS experience in a long-term care / rehabilitation setting required.
- Comprehensive knowledge of documentation, reimbursement, PDPM, and RAI guidelines in Long-Term Care as directed by State and Federal regulations.
- Prior experience managing, supporting, and/or consulting for a cluster of regional facilities or in a decentralized, multi-site organization strongly preferred.
- Active, unrestricted driver's license required with personal transportation.
Benefits
- Competitive salary
- New BCBS carrier health benefits
- Paid time off
- 401k
- Life insurance
- Tuition reimbursement
- Free CEUs
- Travel reimbursement