Area of Interest : Nursing - RN
Position Type : Part Time - Permanent
Relocation Approved :
Recruiter : Christie, Cory
Job Description : We're seeking an experienced MMQ Registered Nurse at Saugus Center, a 80-bed center, located in Saugus, MA. This position is part-time, 24-32 hours per week. Our center has received Quality Awards and has a friendly team atmosphere.
POSITION SUMMARY:
Responsible for the accurate and timely completion of all Medicaid case mix documents in order to assure appropriate reimbursement for services provided within the Center. Conducts concurrent documentation review to assure achievement of maximum allowable reimbursement category.
RESPONSIBILITIES /ACCOUNT ABILITIES:
•Tracks customers to determine Medicaid eligibility
•Reviews clinical documentation to identify potential obstacles for achieving maximum reimbursement and reports to the Director of Nursing
•Communicates with the nursing team regarding the requirements for documentation and provides training as needed.
•Completes admission and conversion MMQs in a timely manner.
•Completes Bi Annual MMQTD
•Completes Corporate Mock MMQTD every other month
•Responsible for the data entry into PCC, assuring accurate data, appropriate process and timely submission of MMQTD to DMA.
•Verifies corrections are accurate and accuracy of the MMQ prior to submission to DMA.
•Notifies Billing office of MMQs completed and accepted for MMQTD, conversion and admissions.
•Serves as the Center resource for Medicaid coverage.
•Provides education to the nursing team as needed
•Trains backup personnel for the completion of MMQs
•Identifies areas of educational need to Center administration and regional personnel.
•Maintains all reports and records of transmitted data in a systematic format and stores in a safe and locked area per HIPPA guidelines.
•Implements all required forms, procedures and processes relative to job responsibilities
•Utilizes all reports on PCC to monitor completion of Licensed Nursing Summaries and center acuity.
•Performs other related duties as requested.
NRN1
Qualifications : SPECIFIC EDUCATIONAL REQUIREMENTS:
•Graduate of an accredited School of Nursing with a current RN licensure in the state in which employment occurs is required.
•Experience with MMQ completion, reimbursement, clinical resource utilization is highly desirable.
As one of the nation's largest long-term care and rehabilitation providers, we offer a generous and wide-ranging compensation package, including:
• Medical/dental/vision insurances
• Company-paid life insurance and short-term disability
• Voluntary insurance programs
• 401(k)
• Leadership Training Program
• Pre-tax Flexible Spending Accounts
• Extensive paid leave for holidays
• Service awards
• Generous Elder Care benefit for family members
PI61185949
Position Type : Part Time - Permanent
Relocation Approved :
Recruiter : Christie, Cory
Job Description : We're seeking an experienced MMQ Registered Nurse at Saugus Center, a 80-bed center, located in Saugus, MA. This position is part-time, 24-32 hours per week. Our center has received Quality Awards and has a friendly team atmosphere.
POSITION SUMMARY:
Responsible for the accurate and timely completion of all Medicaid case mix documents in order to assure appropriate reimbursement for services provided within the Center. Conducts concurrent documentation review to assure achievement of maximum allowable reimbursement category.
RESPONSIBILITIES /ACCOUNT ABILITIES:
•Tracks customers to determine Medicaid eligibility
•Reviews clinical documentation to identify potential obstacles for achieving maximum reimbursement and reports to the Director of Nursing
•Communicates with the nursing team regarding the requirements for documentation and provides training as needed.
•Completes admission and conversion MMQs in a timely manner.
•Completes Bi Annual MMQTD
•Completes Corporate Mock MMQTD every other month
•Responsible for the data entry into PCC, assuring accurate data, appropriate process and timely submission of MMQTD to DMA.
•Verifies corrections are accurate and accuracy of the MMQ prior to submission to DMA.
•Notifies Billing office of MMQs completed and accepted for MMQTD, conversion and admissions.
•Serves as the Center resource for Medicaid coverage.
•Provides education to the nursing team as needed
•Trains backup personnel for the completion of MMQs
•Identifies areas of educational need to Center administration and regional personnel.
•Maintains all reports and records of transmitted data in a systematic format and stores in a safe and locked area per HIPPA guidelines.
•Implements all required forms, procedures and processes relative to job responsibilities
•Utilizes all reports on PCC to monitor completion of Licensed Nursing Summaries and center acuity.
•Performs other related duties as requested.
NRN1
Qualifications : SPECIFIC EDUCATIONAL REQUIREMENTS:
•Graduate of an accredited School of Nursing with a current RN licensure in the state in which employment occurs is required.
•Experience with MMQ completion, reimbursement, clinical resource utilization is highly desirable.
As one of the nation's largest long-term care and rehabilitation providers, we offer a generous and wide-ranging compensation package, including:
• Medical/dental/vision insurances
• Company-paid life insurance and short-term disability
• Voluntary insurance programs
• 401(k)
• Leadership Training Program
• Pre-tax Flexible Spending Accounts
• Extensive paid leave for holidays
• Service awards
• Generous Elder Care benefit for family members
PI61185949
