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Licensed Practical Nurse jobs at Regency Health Services Inc

- 220 jobs
  • LICENSED VOCATIONAL NURSE - PRN (78760)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Primary Responsibilities The LVN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions * During rounds observes, assess, documents, and reports resident condition/changes * Assures implementation of care plans as directed * Administers medications as prescribed * Conduct rounds with physician and record visits in clinical records * Perform narcotic reconciliation with incoming and outgoing shifts * Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures * Oversees and monitors aides * Initiate and complete Incident and Accident Reports per facility policy * Discharge residents per facility policy * Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition * Communicate with resident's point of contact when they ask for a status update or if there is a change in condition * Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements * Has completed an LVN program at an accredited vocational school or college. Licensing Requirements * Must be an active Licensed Vocational Nurse in the state of Texas in good standing. Experience Requirements * Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $46k-55k yearly est. 27d ago
  • LICENSED VOCATIONAL NURSE (79194)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Primary Responsibilities The LVN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions * During rounds observes, assess, documents, and reports resident condition/changes * Assures implementation of care plans as directed * Administers medications as prescribed * Conduct rounds with physician and record visits in clinical records * Perform narcotic reconciliation with incoming and outgoing shifts * Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures * Oversees and monitors aides * Initiate and complete Incident and Accident Reports per facility policy * Discharge residents per facility policy * Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition * Communicate with resident's point of contact when they ask for a status update or if there is a change in condition * Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements * Has completed an LVN program at an accredited vocational school or college. Licensing Requirements * Must be an active Licensed Vocational Nurse in the state of Texas in good standing. Experience Requirements * Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $45k-54k yearly est. 9d ago
  • LVN

    Aspen Healthcare Services 3.9company rating

    Denton, TX jobs

    Aspen is seeking dedicated and compassionate LVN's & RN's for private duty nursing case in Denton Aspen Healthcare Services is seeking dynamic compassionate LVN or RN to provide one to one private duty nursing care services in the patient's home. Shifts: 7am-7pm 7pm-7am (Ongoing Thursday and Friday and Weekend PRN availability) Essential Functions: Provide excellent nursing care under the direction of RN Work alongside Respiratory Therapists to provide trach/vent care (Aspen provides in-depth training and oversight) Assist patient with ADLs/IADLs Administer medications Electronic patient charting Medical specialties: Geriatrics Home Health Standard shift: Day shift Supplemental schedule: Holidays Overtime Every other Weekend Weekly schedule: 3x12 Experience: Private Duty Nursing: 1 year (Preferred) Case management: 1 year (Preferred) Language: English License/Certification: LVN (Required) BLS Certification (Preferred) RN (Required) Work Location: In person
    $42k-49k yearly est. 60d+ ago
  • LVN

    Aspen Healthcare Services 3.9company rating

    Lewisville, TX jobs

    Aspen is hiring a PRN LVN for the D F W and Surrounding Areas ! Come join our team of caring, compassionate, skilled and dependable staff! Qualified LVN's to work Home Health PRN in our patient's home. Frisco, Little Elm, Carrollton, The Colony, Aubrey, Irving **YOU MUST HAVE HOME HEALTH experience ! Kinnser Experience Preferred Essential Functions: Under the direction of the RN, participate in planning and implementing specialized procedures and duties that assist in meeting the nursing care needs of the patient in accordance with agency policies. Assist the RN in carrying out the plan of care. Assist the patient in learning appropriate self care techniques. Complete appropriate documentation in a timely manner. Provide care utilizing infection control measures that protect both staff and patient (OSHA) Provide effective communication to patient/family, team members, and other healthcare professionals. Monitor assigned cases to ensure compliance with requirements of third party payer. Demonstrate commitment, professional growth and competency. Promote Agency philosophy and administrative policies to ensure quality of care Job Qualifications: Education: Graduate of an accredited school of vocational nursing Licensure: Current Texas State license as a Licensed Vocational Nurse, current Texas Drivers License Experience: Two years experience as a Licensed Vocational Nurse in a clinical care setting, home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Proof of current CPR, and Hepatitis profile Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patient's home in various conditions; possible exposure to blood and bodily fluids and infections diseases; ability to work flexible schedule; ability to travel locally, some exposure to unpleasant weather; PRN emergency call. Physical and mental Effort: Prolonged standing and walking required. Ability to lift up to 50 pounds and move patients. Requires working under some stressful conditions to meet deadlines, to identify patients needs, to make quick decisions and resource acquisition; meet patient/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Job Type: PRN
    $42k-49k yearly est. 60d+ ago
  • Certified Medication Aide

    Cedar Manor, Inc. 4.1company rating

    San Angelo, TX jobs

    Join Our Team as a Certified Medication Aide Support Resident Care with Precision and Compassion We're seeking a reliable and dedicated Certified Medication Aide to join our growing team! This role is essential in delivering accurate and compassionate care through proper medication administration. Success in this role requires consistency, strong attention to detail, and a professional, team-oriented attitude. Your Impact as a Certified Medication Aide In this role, you will: Administer Medications: Dispense prescribed PO, topical (unbroken skin), and rectal medications per physician's orders and company policy Monitor and Report: Watch for and report any adverse medication reactions or changes in resident status Document Accurately: Record all medication administration in compliance with policies Ensure Safety: Maintain control of the medication cart and ensure a safe, hazard-free environment Protect Privacy: Safeguard the confidentiality of resident information Adhere to Infection Control: Follow all infection control procedures during medication administration Report Errors: Immediately report any medication errors to the Charge Nurse What Makes You a Great Fit We're looking for someone who: Holds a current Texas Medication Aide certification Has experience and competence in medication administration procedures Communicates clearly and demonstrates patience, discipline, and professionalism Pays close attention to detail and ensures accurate documentation Benefits (Full-Time) Comprehensive Coverage: Health, Dental, and Vision Insurance Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more Life Insurance: Whole and Term Policies Professional Growth: Tuition Reimbursement for continued education Time to Recharge: Paid Time Off Retirement Planning: Immediate 401(k) eligibility Unwavering Support: Exceptional corporate resources Equal Opportunity Employer We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $19k-28k yearly est. Auto-Apply 3d ago
  • LICENSED VOCATIONAL NURSE - PRN (79115)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Primary Responsibilities The LVN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions * During rounds observes, assess, documents, and reports resident condition/changes * Assures implementation of care plans as directed * Administers medications as prescribed * Conduct rounds with physician and record visits in clinical records * Perform narcotic reconciliation with incoming and outgoing shifts * Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures * Oversees and monitors aides * Initiate and complete Incident and Accident Reports per facility policy * Discharge residents per facility policy * Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition * Communicate with resident's point of contact when they ask for a status update or if there is a change in condition * Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements * Has completed an LVN program at an accredited vocational school or college. Licensing Requirements * Must be an active Licensed Vocational Nurse in the state of Texas in good standing. Experience Requirements * Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $46k-55k yearly est. 15d ago
  • Field RN

    Aspen Healthcare Services 3.9company rating

    Lewisville, TX jobs

    The Home Health RN Field Nurse is responsible for providing skilled nursing care to patients in their homes under the direction of the DON and ADON.This role focuses strictly on field visits, including assessments, wound care, medication administration, and collaboration with interdisciplinary team members. Responsibilities: Perform skilled nursing visits in patients' homes based on the individualized Plan of Care and ensure delivery of safe, high-quality care. Conduct comprehensive OASIS assessments, including Start of Care (SOC), Re-certification, Resumption of Care, Follow-Up, and Discharge visits, adhering strictly to Medicare Home Health guidelines. Administer direct patient care services such as wound care, IV therapy, catheter care, medication administration, and other skilled nursing procedures within the RN scope of practice. Document all visits in real-time or within agency-required timelines in the EMR system (Kinnser/WellSky), including: Accurate assessment data Skilled interventions provided Patient response and outcomes Teaching and caregiver education Clear communication of any clinical changes Order entry as needed Prioritize timely and compliant charting for all required documents, ensuring each SOC, Recert, and Discharge note is fully completed and submitted by deadline to avoid delays in billing and patient care continuity. Identify and report any changes in patient condition to the physician immediately, supporting rapid intervention and coordination of care. Provide education to patients and caregivers on medication regimens, disease management, infection prevention, and home safety. Uphold all infection control practices, including proper PPE use, to ensure patient and clinician safety. Communicate consistently with the scheduling and clinical teams regarding visit completion, missed visits, patient refusals, or barriers to care. Collaborate with physical therapists, occupational therapists, and home health aides to ensure holistic care delivery and strong care coordination. Qualifications: Current RN license in the state of Texas, in good standing. Minimum of 1 year of nursing experience in a home health, hospital, or skilled nursing setting preferred. Strong clinical skills and ability to work independently. Must have reliable transportation, valid driver's license, and proof of auto insurance. Proficiency in using EMR systems (experience with Kinnser/WellSky is a plus). CPR Certification (must be current). Reliable transportation, valid driver's license, and active auto insurance coverage Essential Job Functions/Responsibilities The Home Health RN Case Manager position must exhibit the following competencies: 1. Critical Thinking: Synthesize complex and diverse information; collect and objectively weigh data; use experience, intuition, and critical thinking to complement data; and design effective processes and workflows. 2. Results Orientation: Actively involved in achieving or exceeding identified strategic patient census goals, patient service excellence, internal systems and processes, learning and growth initiatives, and financial health. 3. Integrity and Ethics: Treat others with respect and individuality regardless of their status or the situation; do what you say; be fair and equitable in all interactions; be a good steward of company resources; actively contribute toward the company's success and goals; uphold organizational values. 4. Dependability: Maintain work behavior that invites trust and reliance; role model positive attendance and punctuality standards; ensure work responsibilities are completed correctly and are covered when absent; arrive at meetings and appointments prepared and on time. 5. Professionalism: Uphold high work standards that reflect the company's purpose and goals; accept responsibility for own actions; react to challenges positively and calmly; provide leadership in maintaining highest technical and customer service standards for the benefit of the patients served. 6. Innovation: Meet challenges with creativity and resourcefulness; remain open to change, others' ideas, and trying new things; generate suggestions for improving work processes, services, and products. 7. Oral Communication: Speak persuasively, with intention and thought, in both positive and negative situations; fully listen and get clarification; respond well to questions; demonstrate group presentation skills; participate in meetings without dominating others. 8. Written Communication: Write clearly and informatively; present numerical data effectively; read and interpret written information; ensure adequate, effective communication with all team members to maintain company values, goals, and culture. 9. Quality: Demonstrate accuracy and thoroughness; look for ways to improve and promote quality; monitor and self-correct own work processes and outcomes; apply feedback from others to improve performance. Physical/Sensory Requirements (with or without the aid of mechanical devices) Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity. Environmental and Working Conditions: Works in patients' homes in various conditions; possible exposure to blood, bodily fluids, and infectious diseases; ability to work a flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency calls. Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity
    $52k-58k yearly est. 39d ago
  • LICENSED VOCATIONAL NURSE (LVN) (79376)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Primary Responsibilities The LVN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions * During rounds observes, assess, documents, and reports resident condition/changes * Assures implementation of care plans as directed * Administers medications as prescribed * Conduct rounds with physician and record visits in clinical records * Perform narcotic reconciliation with incoming and outgoing shifts * Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures * Oversees and monitors aides * Initiate and complete Incident and Accident Reports per facility policy * Discharge residents per facility policy * Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition * Communicate with resident's point of contact when they ask for a status update or if there is a change in condition * Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements * Has completed an LVN program at an accredited vocational school or college. Licensing Requirements * Must be an active Licensed Vocational Nurse in the state of Texas in good standing. Experience Requirements * Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $46k-55k yearly est. 3d ago
  • CLINICAL LIAISON (79029)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Position Type: Full Time Education Level: 2 Year Degree Salary Range: Undisclosed Travel Percentage: Up to 50% Job Category: Nurse Description Primary Responsibilities The primary purpose of your position is to manage the facility census by acting as the liaison between external referral sources and the internal facility and central admissions operations. This position is responsible for identifying, developing, securing, and growing new and existing accounts and customer opportunities by building a strong network within the hospital(s) assigned, as well as supporting the coordination of services among the areas' providers (e.g., managed care organizations, physicians, etc.). You will conduct on- site referral screenings at assigned hospitals and will be evaluated based on your performance of the tasks listed in this job description. In addition, this position is to provide an accurate assessment and communication with the appropriate building information regarding expected or pending admissions. This is a sales and clinical position that requires a valid and clear RN/LPN/LVN/ RRT certification. Essential Functions * Manages key accounts (may include hospitals, centers, physician offices, residential care centers, assisted living centers, home health, senior living or anywhere) as assigned by the Regional Director of Sales and Business Development, Corporate Director of Sales Management or the SVP of Business Development in a set geographic market * Develops and utilizes existing tools and resources to grow and manage the relationships of each account by completing the Clinical Liaison 3-tiered market plan monthly and as necessary * Identifies program development opportunities to increase new admissions * Makes daily sales calls to assigned accounts such as hospital case managers, social workers, physicians, hospital discharge planners and administrators, professional organizations, home health agencies, families, etc. to understand the need for program services and to communicate services offered which meet these needs to obtain referrals of patients with the goal of developing new business * Completes daily rounds in designated hospitals and other assigned accounts obtaining referrals and screening patients to evaluate care needs prior to admission, identify new patients and direct to appropriate center by utilizing the facility clinical and financial grids * Responds to calls and/ or inquiries from hospitals and assigned accounts regarding potential admissions and respond to these calls within 30 minutes * Communicates information to case manager and facility sales/admissions teams, Central Admissions, Administrator or Director of Nursing when applicable and helps coordinates patient's smooth transition into the facility * Obtains accurate information from physicians, patient, and referral source regarding the expected discharge plan and communicates this information to the sales/admission team * Assists potential patients in selecting post-acute placement to Regency facilities or ancillary service lines when applicable by performing on-site referral screenings * Identifies appropriate facility placement utilizing facility clinical and financial grids recognizing: * Referral's clinical needs; * Availability of necessary services, programming and clinical competencies; * Customer insurance and/or financial resources; * Family and/or responsible party needs; and * Bed availability * Secures appropriate admissions in the field and coordinates admission with facility personnel * Obtains appropriate clinical documentation to support services and/or reimbursement level * Allocates 100% of time (i.e. majority) in the field traveling between key accounts as indicated by direct report * Uses Referral Screening form to screen residents; ensure PASSR is completed upon admission * Completes Customer Service QA form and provides to appropriate facility, regional and corporate teams when complaint from assigned account including but not limited to case managers, social workers, physicians, patients and family members of patients * Completes Daily Clinical Liaison Report * Coordinates marketing visits with facilities, Regional Director of Sales and Business Development, Corporate Director of Sales Management or SVP of Business Development along with other company staff members * Participates in the planning and organizing of the territory's sales plan. Implements assigned portions of the plan * Provides SVP of Business Development, Corporate Director of Sales Management, Regional teams and Facility teams with information and feedback from the providers in the territory * Adheres to established HIPAA confidentiality standards of patient/resident and client location information * Develops referrals from hospital social services and discharge planning departments, physicians, case managers, insurance companies and new referral sources * Demonstrates growth in hospital referrals, as reflected in an increase of overall occupancy and quality mix in Regency facilities and ancillary service lines * Decides acceptance of patients and coordinates admission process with facility staff by utilizing the facility clinical and financial grids * Read and familiarize self with State and Federal Nursing Facility regulations * Read and familiarize self with Nursing Facility 5-Star program along with Regency facility ratings and understand how to respond to referral sources/ family members/ potential patients about ratings * Stay current and familiarize self with current healthcare and community trends including but not limited to Alternative Payment Models and changes in accounts, competitors or healthcare community * Participates in off hour and weekend on call duty as assigned * Other duties as assigned Qualifications Licensing Requirements * LVN or RN Experience Requirements * Strong medical assessment skills * Prior hospital, ICU, LTACH experience is a plus * Former or current skilled nursing ADONs and DONs are encouraged to apply * Must possess strong oral and written communication skills. * Previous sales experience is preferred Physical Demands The physical demands described here are representative but not necessarily all inclusive of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $41k-50k yearly est. 17d ago
  • Clinical Liaison

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Remington Transitional Care of Richardson - Richardson, TX Full Time 2 Year Degree Up to 50% NurseDescription Primary Responsibilities The primary purpose of your position is to manage the facility census by acting as the liaison between external referral sources and the internal facility and central admissions operations. This position is responsible for identifying, developing, securing, and growing new and existing accounts and customer opportunities by building a strong network within the hospital(s) assigned, as well as supporting the coordination of services among the areas' providers (e.g., managed care organizations, physicians, etc.). You will conduct on- site referral screenings at assigned hospitals and will be evaluated based on your performance of the tasks listed in this job description. In addition, this position is to provide an accurate assessment and communication with the appropriate building information regarding expected or pending admissions. This is a sales and clinical position that requires a valid and clear RN/LPN/LVN/ RRT certification. Essential Functions Manages key accounts (may include hospitals, centers, physician offices, residential care centers, assisted living centers, home health, senior living or anywhere) as assigned by the Regional Director of Sales and Business Development, Corporate Director of Sales Management or the SVP of Business Development in a set geographic market Develops and utilizes existing tools and resources to grow and manage the relationships of each account by completing the Clinical Liaison 3-tiered market plan monthly and as necessary Identifies program development opportunities to increase new admissions Makes daily sales calls to assigned accounts such as hospital case managers, social workers, physicians, hospital discharge planners and administrators, professional organizations, home health agencies, families, etc. to understand the need for program services and to communicate services offered which meet these needs to obtain referrals of patients with the goal of developing new business Completes daily rounds in designated hospitals and other assigned accounts obtaining referrals and screening patients to evaluate care needs prior to admission, identify new patients and direct to appropriate center by utilizing the facility clinical and financial grids Responds to calls and/ or inquiries from hospitals and assigned accounts regarding potential admissions and respond to these calls within 30 minutes Communicates information to case manager and facility sales/admissions teams, Central Admissions, Administrator or Director of Nursing when applicable and helps coordinates patient's smooth transition into the facility Obtains accurate information from physicians, patient, and referral source regarding the expected discharge plan and communicates this information to the sales/admission team Assists potential patients in selecting post-acute placement to Regency facilities or ancillary service lines when applicable by performing on-site referral screenings Identifies appropriate facility placement utilizing facility clinical and financial grids recognizing: Referral's clinical needs; Availability of necessary services, programming and clinical competencies; Customer insurance and/or financial resources; Family and/or responsible party needs; and Bed availability Secures appropriate admissions in the field and coordinates admission with facility personnel Obtains appropriate clinical documentation to support services and/or reimbursement level Allocates 100% of time (i.e. majority) in the field traveling between key accounts as indicated by direct report Uses Referral Screening form to screen residents; ensure PASSR is completed upon admission Completes Customer Service QA form and provides to appropriate facility, regional and corporate teams when complaint from assigned account including but not limited to case managers, social workers, physicians, patients and family members of patients Completes Daily Clinical Liaison Report Coordinates marketing visits with facilities, Regional Director of Sales and Business Development, Corporate Director of Sales Management or SVP of Business Development along with other company staff members Participates in the planning and organizing of the territory's sales plan. Implements assigned portions of the plan Provides SVP of Business Development, Corporate Director of Sales Management, Regional teams and Facility teams with information and feedback from the providers in the territory Adheres to established HIPAA confidentiality standards of patient/resident and client location information Develops referrals from hospital social services and discharge planning departments, physicians, case managers, insurance companies and new referral sources Demonstrates growth in hospital referrals, as reflected in an increase of overall occupancy and quality mix in Regency facilities and ancillary service lines Decides acceptance of patients and coordinates admission process with facility staff by utilizing the facility clinical and financial grids Read and familiarize self with State and Federal Nursing Facility regulations Read and familiarize self with Nursing Facility 5-Star program along with Regency facility ratings and understand how to respond to referral sources/ family members/ potential patients about ratings Stay current and familiarize self with current healthcare and community trends including but not limited to Alternative Payment Models and changes in accounts, competitors or healthcare community Participates in off hour and weekend on call duty as assigned Other duties as assigned Qualifications Educational/Training Requirements Education: RN/ LVN is required Strong medical assessment skills Prior hospital, ICU, LTACH experience is a plus Former or current skilled nursing ADONs and DONs are encouraged to apply Must possess strong oral and written communication skills. Licensing Requirements None Experience Requirements Previous sales experience preferred Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $42k-50k yearly est. 60d+ ago
  • Mds Coordinator (Rn/Lvn)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Southpark Meadows Nursing and Rehab Center - Austin, TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
    $66k-80k yearly est. 60d+ ago
  • CLINICAL LIAISON LVN/RN (78866)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Position Type: Full Time Education Level: 2 Year Degree Salary Range: Undisclosed Travel Percentage: Up to 50% Job Category: Nurse Description Primary Responsibilities The primary purpose of your position is to manage the facility census by acting as the liaison between external referral sources and the internal facility and central admissions operations. This position is responsible for identifying, developing, securing, and growing new and existing accounts and customer opportunities by building a strong network within the hospital(s) assigned, as well as supporting the coordination of services among the areas' providers (e.g., managed care organizations, physicians, etc.). You will conduct on- site referral screenings at assigned hospitals and will be evaluated based on your performance of the tasks listed in this job description. In addition, this position is to provide an accurate assessment and communication with the appropriate building information regarding expected or pending admissions. This is a sales and clinical position that requires a valid and clear RN/LPN/LVN/ RRT certification. Essential Functions * Manages key accounts (may include hospitals, centers, physician offices, residential care centers, assisted living centers, home health, senior living or anywhere) as assigned by the Regional Director of Sales and Business Development, Corporate Director of Sales Management or the SVP of Business Development in a set geographic market * Develops and utilizes existing tools and resources to grow and manage the relationships of each account by completing the Clinical Liaison 3-tiered market plan monthly and as necessary * Identifies program development opportunities to increase new admissions * Makes daily sales calls to assigned accounts such as hospital case managers, social workers, physicians, hospital discharge planners and administrators, professional organizations, home health agencies, families, etc. to understand the need for program services and to communicate services offered which meet these needs to obtain referrals of patients with the goal of developing new business * Completes daily rounds in designated hospitals and other assigned accounts obtaining referrals and screening patients to evaluate care needs prior to admission, identify new patients and direct to appropriate center by utilizing the facility clinical and financial grids * Responds to calls and/ or inquiries from hospitals and assigned accounts regarding potential admissions and respond to these calls within 30 minutes * Communicates information to case manager and facility sales/admissions teams, Central Admissions, Administrator or Director of Nursing when applicable and helps coordinates patient's smooth transition into the facility * Obtains accurate information from physicians, patient, and referral source regarding the expected discharge plan and communicates this information to the sales/admission team * Assists potential patients in selecting post-acute placement to Regency facilities or ancillary service lines when applicable by performing on-site referral screenings * Identifies appropriate facility placement utilizing facility clinical and financial grids recognizing: * Referral's clinical needs; * Availability of necessary services, programming and clinical competencies; * Customer insurance and/or financial resources; * Family and/or responsible party needs; and * Bed availability * Secures appropriate admissions in the field and coordinates admission with facility personnel * Obtains appropriate clinical documentation to support services and/or reimbursement level * Allocates 100% of time (i.e. majority) in the field traveling between key accounts as indicated by direct report * Uses Referral Screening form to screen residents; ensure PASSR is completed upon admission * Completes Customer Service QA form and provides to appropriate facility, regional and corporate teams when complaint from assigned account including but not limited to case managers, social workers, physicians, patients and family members of patients * Completes Daily Clinical Liaison Report * Coordinates marketing visits with facilities, Regional Director of Sales and Business Development, Corporate Director of Sales Management or SVP of Business Development along with other company staff members * Participates in the planning and organizing of the territory's sales plan. Implements assigned portions of the plan * Provides SVP of Business Development, Corporate Director of Sales Management, Regional teams and Facility teams with information and feedback from the providers in the territory * Adheres to established HIPAA confidentiality standards of patient/resident and client location information * Develops referrals from hospital social services and discharge planning departments, physicians, case managers, insurance companies and new referral sources * Demonstrates growth in hospital referrals, as reflected in an increase of overall occupancy and quality mix in Regency facilities and ancillary service lines * Decides acceptance of patients and coordinates admission process with facility staff by utilizing the facility clinical and financial grids * Read and familiarize self with State and Federal Nursing Facility regulations * Read and familiarize self with Nursing Facility 5-Star program along with Regency facility ratings and understand how to respond to referral sources/ family members/ potential patients about ratings * Stay current and familiarize self with current healthcare and community trends including but not limited to Alternative Payment Models and changes in accounts, competitors or healthcare community * Participates in off hour and weekend on call duty as assigned * Other duties as assigned Qualifications Licensing Requirements * LVN or RN Experience Requirements * Strong medical assessment skills * Prior hospital, ICU, LTACH experience is a plus * Former or current skilled nursing ADONs and DONs are encouraged to apply * Must possess strong oral and written communication skills. * Previous sales experience is preferred Physical Demands The physical demands described here are representative but not necessarily all inclusive of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $46k-55k yearly est. 23d ago
  • MDS Coordinator - Registered Nurse

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Rockport Nursing and Rehabilitation Center - Rockport, TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
    $66k-80k yearly est. 57d ago
  • Mds Coordinator - Registered Nurse

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Windsor Arbor View - Edinburg, TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
    $66k-80k yearly est. 60d+ ago
  • Mds Coordinator - Registered Nurse

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Hidalgo Nursing and Rehabilitation Center - Edinburg , TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
    $66k-80k yearly est. 57d ago
  • SCHEDULER - LICENSED VOCATIONAL NURSE (79007)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Having adequate staffing coverage in a skilled nursing facility is directly related to quality of care. The Facility Staff Scheduler will be responsible for managing scheduling at the facility for C.N.As, C.M.As, LVNs, and RNs. * Utilize the HRIS Scheduler to research openings in the Schedule at assigned location(s). * If requested sit in interviews for applicants. * Work closely with facility Human Resources Coordinator to ensure a smooth onboarding process. * Must ensure that overtime is kept to a minimum. * Reaching out to employees by phone to cover shifts if someone calls into work. * Be on call for any last minute schedule changes. * If C.N.A. or Nurse may be utilized on the floor. Qualifications Job Requirements: * At least 2 years of healthcare scheduling experience * Friendly and clear communication skills * Strong understanding of computer applications * Certified Nurse Aide or Charge Nurse experience is highly preferred.
    $46k-55k yearly est. 17d ago
  • WEEKEND TREATMENT NURSE - LVN (79236)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Position Type: Part Time Salary Range: Undisclosed Travel Percentage: None Job Shift: Weekend Job Category: Nurse Description Primary Responsibilities The Treatment Nurse will provide quality of care to prevent and promote healing of alterations in skin integrity of each resident as determined by resident assessments and individual plans of care. Essential Functions * Communicate with DON/designee any alterations in skin integrity of each resident * Participate in training and in-servicing related to skin care * Dresses wounds and ensures that dressing changes are done timely as prescribed * Monitors the progress of wound healing and makes recommendations for changes if needed * Performs and records weekly pressure ulcer assessment and measurement documentation * Communicates with responsible party and attending physician on resident care issues related to skin integrity * Document on Weekly Focused Skin Assessment the results of each resident's audit and provide copies to appropriate facility personnel during QA and care plan meetings * May be asked at times by DON or Administrator to help with other nursing functions Participate in facilities rotating nursing on-call schedule Qualifications Educational/Training Requirements * Must have attended a nursing program at an accredited college, university, or vocational school Licensing Requirements * Must have an active RN/LVN license in the state of Texas * Preferred to have Wound Care Certification Experience Requirements * Previous experience in skilled nursing is preferred Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $45k-54k yearly est. 9d ago
  • MDS COORDINATOR (78065)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions * Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. * Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). * Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. * Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. * Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. * Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. * Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. * Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. * Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. * Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines. * Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. * Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. * Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. * Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. * Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. * Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. * Reviews the Validation reports and ensures that appropriate follow-up action is taken. * Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. * Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. * Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. * Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). * Functions as an RAI and Care Management resource to the facility staff. * Utilizes AIS as annual competency training as well as for educational resource as needed. * Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties * The Care Management Specialist manages the day to day operations of the department. * Maintains current knowledge of reimbursement regulations. * Maintains data in an organized, easily retrievable manner. * Maintains good personal hygiene and follows dress code requirements. * Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. * Ability to work flexible work hours to support business requirements. * Ability to utilize both local and corporate resources in the execution of job responsibilities. * Must possess superior clinical assessment and documentation skills. * Must demonstrate strong interpersonal skills and ability to work well in a team environment. * Other duties as assigned or needed. Key Competencies * Analytical reasoning * Logical reasoning * Problem solving * Time management * Organizational skills * Research skills * Language Skills * Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements * Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. * Position may be filled by LVN, however specific job functions denoted by "" will require an RN to Coordinate the process as stipulated by Federal Regulations. * Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. * Competency with standard office software applications as well as software applications related to MDS/RAI processes. * High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements * Licensure in the state in which employment occurs. Experience Requirements * Minimum of two years health care experience. * Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
    $66k-80k yearly est. 53d ago
  • LICENSED VOCATIONAL NURSE (79223)

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Primary Responsibilities The LVN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions * During rounds observes, assess, documents, and reports resident condition/changes * Assures implementation of care plans as directed * Administers medications as prescribed * Conduct rounds with physician and record visits in clinical records * Perform narcotic reconciliation with incoming and outgoing shifts * Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures * Oversees and monitors aides * Initiate and complete Incident and Accident Reports per facility policy * Discharge residents per facility policy * Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition * Communicate with resident's point of contact when they ask for a status update or if there is a change in condition * Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements * Has completed an LVN program at an accredited vocational school or college. Licensing Requirements * Must be an active Licensed Vocational Nurse in the state of Texas in good standing. Experience Requirements * Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X
    $46k-56k yearly est. 9d ago
  • MDS Coordinator - Registered Nurse

    Regency Integrated Health Services 4.3company rating

    Licensed practical nurse job at Regency Health Services Inc

    Job Details Yoakum Nursing and Rehabilitation Center - Yoakum, TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
    $66k-80k yearly est. 57d ago

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