Regional MDS Manager

Southern HealthCare Management; United States; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

BCBS health coverage

Paid time off

401k

Life insurance

Tuition reimbursement

Free CEUs

Travel reimbursement

Job summary

Southern HealthCare Management is seeking an MDS Clinical Process Analyst to oversee RAI/PDPM across 42 centers in FL, NC and GA. The role involves site visits, staff education, and program implementation to ensure regulatory compliance and optimized reimbursement.

Ideal candidate resides in Raleigh/Durham area with travel flexibility; benefits include BCBS, PTO, 401k, tuition reimbursement, CEUs, and travel reimbursement as part of our comprehensive package.

Qualifications

• Must have ASN and be a licensed RN.
• 5+ years RN experience required.
• 3+ years MDS experience in long-term care/rehab.
• Comprehensive knowledge of PDPM, RAI, documentation and reimbursement guidelines.

Responsibilities

• Conduct site visits to implement programs across multiple facilities.
• Educate staff and implement training programs to maximize resources and outcomes.
• Serve as liaison between centers, regional leadership and VP of Rehabilitation Services and Case Mix.
• Ensure compliance with federal and state guidelines for the RAI process and clinical reimbursement.

Skills

RN experience

MDS experience

MDS/PDPM/RAI knowledge

Clinical program education

Multi-site coordination

Education

ASN (Associate Degree in Nursing)

Job description

Are you an MDS Nurse with prior experience managing the RAI process across multiple facility locations? Do you enjoy educating and training others and creating and implementing programs that ensure maximization of resources, positive patient outcomes, and regulatory compliance? Are you looking for a company that offers a great culture, competitive salary, and opportunity to grow? Then come join us at Southern HealthCare Management as a Clinical Process Analyst!

As an MDS Clinical Process Analyst at Southern, you will be a part of a large-scale healthcare operations organization that provides management and oversight of 42 Long-Term Care and Rehabilitation centers across FL, NC and GA. You will utilize your expertise in the Resident Assessment Instrument (RAI) process, the Patient Driven Payment Model (PDPM), Quality Measures (QM’s), and Medicaid Case Mix and Medicare guidelines to your region of assignment in the State of Florida. You will be making site visits to implement programs, educate staff and ensure compliance with federal and state guidelines. You will serve as a liaison between the local center, regional leadership and the VP of Rehabilitation Services and Case Mix to ensure strategies and plans that enhance and promote departmental goals are developed and implemented, with a primary goal of promoting proper clinical reimbursement for services rendered through the MDS process and ensuring compliance with federal and state guidelines regarding RAI process.

Due to the proximity of the centers this role will support, the ideal candidate will reside in the Raleigh/Durham area with flexibility to travel and visit centers as needed is required. Southern offers a competitive salary with full benefits that include new BCBS carrier, paid time off, 401k, life insurance, tuition reimbursement, free CEUs, travel reimbursement, AND MORE, because you're an ESSENTIAL PIECE! You'll be a part of managing situations to create positive outcomes!

QUALIFICATIONS

• Associate's Degree or above in Nursing (ASN) required.
• Five (5+) years licensed RN experience required.
• Three (3+) years MDS experience in a long-term care / rehabilitation setting required.
• Must have comprehensive knowledge of documentation, reimbursement, PDPM, and RAI guidelines in Long-Term Care as directed by State and Federal regulations.
• Prior experience managing, supporting and/or consulting for a cluster of regional facilities or in a decentralized, multi-site organization, strongly preferred
• Active, unrestricted driver's license required with personal transportation.

ABOUT US

Southern HealthCare Management is a family of 44 skilled nursing and rehabilitation centers throughout Florida, Georgia and North Carolina. With corporate offices in Orlando, FL (Casselberry), Atlanta, GA and Raleigh, NC, we are dedicated to promoting and directing high quality nursing care and rehabilitative services to meet the physical, emotional and social needs of those who are served.

Our Service Standards

• Hearing Needs…and responding quickly
• Caring Approach…in everything we do