Salary plus performance based bonuses!
POSITION SUMMARY
We are looking for an experienced MDS – Corporate Director of Quality Improvement to become a part of our facility’s compassionate care-giving team. The successful candidate will be responsible for oversight of 18 SNF’s and assisting each SNF within the entire organization to achieve benchmarks and maintain these improvements as it relates to the Texas QIPP Program. We’re looking for a highly competent and well-organized professional who values safety, security, and patient wellness above all else. We focus on providing the best care possible while ensuring patient satisfaction in every interaction. The MDS – Corporate Director of Quality Improvement is responsible for making sure those values are reflected in his or her staff at all times.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Provide facility support for QM’s, QIPP QMs, and CMS 5-Star Rating QM.
- Provides support, education, and training to the MDS Case Managers in the facilities on the RAI MDS process in accordance with the laws, regulations, and company standards.
- Reviews and coordinates PDPM and Medicaid Reimbursement Data to ensure appropriate reimbursement and quality metrics are met.
- Provides leadership, oversight, and acts as a resource for regional and facility staff specific to the RAI MDS process, Medicare program and Medicaid clinical reimbursement process.
- Provides comprehensive training for systems related to the RAI MDS, clinical software, and Medicare/Medicaid Reimbursement systems.
- Trains new MDS Case Managers to conduct MDSs, develop plans of care, evaluate residents’ responses to interventions, document clinical records, RAI manual and all applicable deadlines for MDSs, and complete MDSs as needed.
- Conducts regular monitoring of facility Medicare and Medicaid Management.
- Supports accurate claims and billing by training/attending Reimbursement related meetings and ensure processes in place.
- Coordinating the Resident Assessment Instrument (RAI) process.
- Completing an accurate Minimum Data Set (MDS) and development of the interdisciplinary Plan of Care.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
- Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved RN or LVN program.
- Three (3) – five (5) years MDS/RAI experience required.
- Case Mix Management experience required in a long-term care setting.
- Must maintain current CPR certification.
- Excellent verbal and written communication skills.
- Excellent computer software skills
- Proficient in MatrixCare, Simple, Word, Excel
CERTIFICATES, LICENSES, REGISTRATIONS
Must possess a current and active license to practice as an RN or LVN in Texas.
Summit LTC Management, LLC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Job Type: Full-time
Pay: From $80,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Employee assistance program
- Free parking
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Referral program
- Retirement plan
- Vision insurance
Healthcare setting:
- Long term care
- Nursing home
- Rehabilitation center
- Skilled nursing facility
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- Are you proficient in MatrixCare, Simple, Word, and Excel?
Experience:
- MDS/RAI: 3 years (Required)
- Case Mix Management in a long-term care setting: 1 year (Required)
License/Certification:
- RN or LVN license (Required)
- CPR Certification (Required)
Work Location: In person