RNAC/LPNAC

The primary function of this position is to conduct and coordinate the development and accurate completion of the resident assessment and care plan process in compliance with all federal, state and local guidelines which govern the facility, and, as directed by the Director of Nursing Services and/or the Administrator so as to ensure each resident’s individual needs are identified and addressed accordingly through the assessment process.

Specific responsibilities of the position include, but are not limited to, the following:

• Conduct and coordinate the development and accurate completion of the resident assessment and care planning process, including the implementation of CAA’s.
• Coordinates scheduling of OBRA and Medicare/managed care assessments, entry/re-entry records, and care plan reviews in accordance with the most recent regulatory guidelines.
• Assists the RN Case Manager, Director of Nursing to ensure all documentation in the clinical record meets federal, state, and certification guidelines.
• Scheduling of all Medicare Part A and/or Managed Care MDS assessments in accordance with applicable RAI and state guidelines
• Coordinates scheduling of care plan conference following the RAI manual and any applicable state guidelines.
• Work with all staff so as to enhance reimbursement, as applicable, through documentation of care and services provided.
• Work as part of the overall facility team to ensure documentation of care and services is appropriate and supports reimbursement.
• Coordinates the facility resident review process held weekly
• Coordinates the facility review of claims for “triple check” for skilled residents monthly
• Performs random audits of skilled resident records for presence of daily documentation to support skilled services received
• Inform residents, responsible parties and staff of Medicare/managed care coverage status through appropriate documentation in accordance with all federal, state and facility guidelines. Provides updates as necessary.
• Works with Community Health Choice (CHC) case managers for Managed Medicaid providers
• Participate in committees as directed.
• Adheres to the established facilities policies related to infection control and reducing the potential spread of infection.
• Works cooperatively as part of the health care team to evaluate and revise current practices, policies and procedures.
• Maintains and promotes relationships with residents, visitors, and other staff members, and government regulators by presenting a professional appearance and positive attitude.
• Understands, complies with, and promotes all rules regarding resident rights and confidentiality.
• Attends and participates in orientation, training efforts, educational activities, in-service functions, and staff meetings.
• Understands and follows safety and sanitation rules, practices safety is provision of services, and promptly reports any hazards or violations to a supervisor.
• Performs additional functions or duties, as assigned by the supervisor.