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Posted: Saturday, February 24, 2018 12:02 AM


Will review clinical/rehabilitation and medical information once coordinated by admissions coordinator prior to admission to determine appropriateness of admission.
Will be responsible for tracking the Medicare benefits of each resident admitted to the facility and communicate reason for Medicare coverage to all disciplines.
Will coordinate Medicare schedule and communicate schedule to all disciplines.
Will notify Business office of each residents Medicare determination on admission, and also upon termination of Medicare coverage.
Will coordinate weekly Medicare meeting with nursing, rehabilitation/business office, social services and minutes of each meeting. Each discipline involved will be provided a copy of minutes of each meeting.
Will initiate all MDSs following MDS 3.0 RAI guidelines as established by Federal/State regulations.
Will be responsible for completion of sections on the MDS as outlined in facility policy for MDS completion.
Will gather information and coordinate clinical/rehabilitation information required by insurance companies for prior authorization, or for determination of insurance coverage.
Will coordinate the submission of resident medical and rehabilitation information as requested by IPRO when Medicare reconsideration requests have been initiated by resident/family.
Will review morning report daily to obtain information on change in resident status to determination significant change in condition and need to initiate MDS for significant change assessment.
Will review MDS for accuracy and completion throughout resident stay to maximize reimbursement.
Will coordinate MDS completion and submission for Medicaid case mix reimbursement.
Will assist with the completion of 5 day MDS as needed.

Job Requirements


Graduation from a accredited School of Nursing and maintain current licensure in the State of New York. Must be PRI certified.

Contact Person:
Corina Chrystie
Phone: 315-272-2274
Fax: 315-272-2256
Email Address:

• Location: Utica-Rome-Oneida

• Post ID: 35258527 utica is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018