Job description

The Registered Nurse Assessment Coordinator (RNAC) is accountable for coordinating and overseeing the full collaborative, interdisciplinary assessment and care planning process in skilled nursing.

Qualifications:

• Active Pennsylvania Registered Nurse licensure required
• RAC-CT certification preferred
• Gerontological Certification preferred
• Bachelor’s degree in Nursing preferred
• Active CPR required
• Two years related work experience preferred

Knowledge Skills:

• Understanding of Medicare, Managed Care and Medicaid reimbursements
• Knowledge of federal and state regulations
• Excellent communication skills
• Computer skills
• Knowledge of MDS 3.0, CAAs, Care Area Triggers, Resource Utilization Groups (RUGs) and Case Mix Indices
• Understanding of the overall care planning process

Responsibilities and Expectations:

• Oversee and coordinate the entire collaborative assessment and care planning process.
• Ensure appropriate services delivered and available to residents.
• Maintain organized reports and data using appropriate guidelines.
• Resolve insurance and /or managed care operational issues (authorization, payment level of services, billing/claims payment for referrals and admissions)
• Monitor rehabilitation therapy utilization for all residents to ensure reimbursement of those services are appropriate and accurate.
• Coordinate Resident Diagnosis Coding.
• Serve as educator and resource for staff on the documentation of care and services provided.
• Assist with survey and audit duties; preparation of documents based on regulatory agency requests.
• Develop positive relationships and be accessible to all residents, families, visitors and staff.
• Promote and support culture of patient centered care and service.

Presbyterian Senior Living is a large not-for-profit organization, and is dedicated to our mission to provide compassionate, vibrant and supportive communities and services to promote wholeness of body, mind and spirit.

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