RN Director Case Management / MDS Coordinator

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

• Degree in nursing, therapy or other related clinical field, must hold an RN current license in respective field.
• MDS experience.
• Knowledge of healthcare reimbursement, utilization management, and discharge planning.
• Experience providing strategic leadership, managing teams and leading projects required.
• Strong verbal, written and interpersonal skills.
• Prioritize proven ability to lead a team to achieve desired outcomes of team.
• Strong communication and organizational skills required.
• Must have knowledge of PDPM requirements of insurers.
• Must have understanding of regulatory requirements.
• Previous case management experience preferred (EOE).