Registered nurse with administrative duties/management. Conducts and coordinates the completion of required Resident Assessment Instrument (RAI) and is responsible for the implementation and ongoing evaluation of each resident’s comprehensive plan of care.
*Coordination of the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations.
*Accurate completion of all MDS assessments and any supporting assessments or clinical documentation.
*Implementation and ongoing evaluation of each resident’s comprehensive plan of care.
*Scheduling and leading interdisciplinary care plan team meetings.
*Auditing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education to department heads, physicians, and other staff as needed.
*Collaborating with health plans, physicians and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria.
*Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving in regards to the SNF prospective payment system and quality reporting program.