What are the responsibilities and job description for the RAUM Manager - Full Time - Days position at The New Jewish Home Career Center?
The mission of The New Jewish Home is to empower older adults to enhance purpose and well-being through a portfolio of innovative health care services. We do this through a vision whereby we would create a new reality in which ageism is no longer, and society embraces its older adult members. Our values define our approach to care, our culture, and our working relationships, and include:
- Extending Welcome
- Embracing Diversity
- Affirming Dignity
- Respecting One Another
- Embodying Compassion
- Increasing Knowledge and
- Pursuing Justice
The New Jewish Home ,Sarah Neuman campus in Westchester,is currently seeking a Full Time RAUM Manager to join their team!
Job Summary
Responsible for accurate and thorough completion of the Minimum Data Set (MDS), in accordance with the current federal and state regulations and guidelines, Sarah Neuman (SRN) policies and procedures and good standards of practice. Assists the Director of Clinical Reimbursement with the effective and efficient operation of RAUM Department and covers the Director of Clinical Reimbursement in his/her absence. Utilizes critical thinking and collaborates with other members of the interdisciplinary team to capture the right CMI which reflects the care and services provided.
Job Duties (include but not limited to):
- Ensures appropriate scheduling and completion of the MDS required for compliance with OBRA regulations and as required by the insurance, in accordance with the current federal and state regulations and guidelines.
- Ensures that documentation supports the coding of the items in the MDS.
- Demonstrates understanding of MDS requirements related to various payers including Medicare, Managed Care, Commercial Plans and Medicaid.
- Ensures that documentation supports Medicare eligibility and documentation optimizes reimbursement, compliance with documents required for Medicare coverage: Medicare Certification and Recertification, Medicare documentation, issuance of NOMNC on a timely manner.
- Demonstrates ability to conduct huddles with other members of the interdisciplinary team to all residents admitted/readmitted under Medicare A coverage.
- Utilizes critical thinking skills and collaborates with rehab and nursing to capture the Medicaid case mix which reflects the care and services provided.
