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Manage the RAI Process from resident admission to discharge in order to maintain clinical compliance and receive funding from Medicare, Medicaid and Managed Care pay sources. Responsibilities include MDS completion in a timely, accurate, documentation-supported and case mix optimized manner; development of individualized care plans reflective of the residents’ status; oversight of the resident care data collection tool; coordination of assessments and services by other clinical departments; liaison to rehab team; audit and survey preparation, implementation and response; managed care clinical authorization and justifications; State-required form completion; activities of daily living (ADL) training and support; restorative nursing program management and other duties related to case mix
management.
Meeting Management:
Responsible for managing the daily PPS/OBRA case management meetings; restorativ...