Coordinator-Clin Case LPN NonExempt
Company: Genesis Healthcare LLC
Location: Fort Collins
Posted on: May 3, 2021
POSITION SUMMARY: The Clinical Case Coordinator (LPN)
coordinates the development, completion and transmission of the
resident assessment in accordance with the regulatory requirements,
reviews and manages reimbursement in compliance with Genesis
policies and procedures. Responsible to case manage residents
covered by either Medicare or Managed Care insurance programs.
1.Coordinates the completion of the resident assessment (MDS),
Triggers and RAPs in accordance with current rules, regulations and
guidelines that govern the resident assessment.
Responsible for maintaining the calendar and assessment
Participates in at risk Action Team meetings as directed by
Assist with education and overall plan of care.
Identify change in condition in conjunction with IDT.
Conducts and coordinates facility daily PPS meetings and IDT
Process and Claim review.
Coordinates appropriate length of stay for skilled nursing and
rehab residents in conjunction with IDT.
Reviews documentation to ensure state, federal and third party
payor guidelines are met to support skilled coverage in conjunction
Coordinate submission assessments through LTCQ program and makes
the recommended corrections or documents justification on
Participates in the facility Quality Management. Serves on
Revenue Enhancement Committees and develops/implements
Participates in the review Quality Indicator report and Resident
Specific Profile no less than monthly. Analyzes and addresses
flagged areas in conjunction with the interdisciplinary team.
Provides Administrator and Director of Nursing Services with the QI
Report and an analysis of flagged areas.
Attends/participates in educational programs to maintain
knowledge current with RAI/PPS regulations.
Attend facility in-services and department/facility meetings as
Maintains and implements department policies and procedures,
ensures staff compliance.
Ensures that all OSHA and safety standards are followed, as
applicable to the position and in the business location or
Maintains safe and clean work area and adheres to
location/company safety standards for the healthcare
Complies with all Infection Control, Standard Precautions and
OSHA standards for the healthcare professional.
Complies with applicable legal requirements, standards, policies
and procedures including but not limited those within the
Compliance Process, Code of Conduct and HIPAA.
Provides leadership and support for the Compliance Process
within management area.
Promotes adherence to applicable legal requirements, standards,
policies and procedures as specified within the Compliance Process,
Code of Conduct, Federal False Claims Act and HIPAA within
Distributes compliance-related materials within management
Ensures timely and accurate reporting and responses to
compliance-related issues and monitors the implementation of
corrective action plans related to such issues.
Ensures that staff participates in orientation and training
programs including but not limited to all required compliance
courses and relevant policies and procedures, and that such
training is properly documented.
Provides open lines of communication regarding compliance issues
within management area through the Four Step Reporting Process and
access to the confidential disclosure program reporting lines and
ensures that retaliation against staff who report suspected
incidences of non-compliance does not occur. Reports concerns and
suspected incidences of non-compliance using the 4-Step Reporting
Participates in monitoring and auditing activities and
investigations, and implementing quality improvement processes, as
Completes performance reviews and determines compensation and
promotions based on the accomplishment of established standards
that promote adherence to compliance and quality standards.
Participates in compliance and other required training
Prepares compliance reports, as required.
Adheres to location protocols and department/company policy and
Adheres to established HIPAA confidentiality standards of
patient/resident and client location information.
Maintains on-site regular attendance as scheduled.
- Performs all other tasks or duties as assigned.
We strive to provide our employees with a comprehensive and
affordable benefits package including Medical and Prescription
Drug, Dental, Vision Care, Wellness Program, Telemedicine Program,
Flexible Spending Accounts, Health Savings Account, Company-Paid
Group Life Insurance, Voluntary Term Life Insurance and Short-Term
Disability, Group Auto and Homeowners Insurance, Pet Insurance,
401(k) Savings Plan, Employee Assistance Program (EAP), Commuter
Benefits, Modified Compensation (Mod Comp) or "pay in lieu of
benefits," and Planned Time-Off (vacation, holidays, sick, and
state sick). Such benefits, as well as bonus and variable
compensation plans, are based on applicable state law and factors
such as pay classification (full-time, part-time, or casual), job
grade, location, and length of service.
SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:1. LPN/LVN degree
required.2. Preferred experience in long-term care.3. Demonstrated
proficiency in RAI/PPS processes.4. Current LPN/LVN license and/or
certification in state of employment.
Keywords: Genesis Healthcare LLC, Fort Collins , Coordinator-Clin Case LPN NonExempt, Other , Fort Collins, Colorado
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