Regional MDS Manager - NC

Southern HealthCare Management; Raleigh (NC); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

BCBS health insurance

Paid time off

401k

Life insurance

Tuition reimbursement

CEUs (free)

Travel reimbursement

Job summary

Southern HealthCare Management is seeking an experienced MDS Clinical Process Analyst to lead RAI processes for 42 centers across FL, NC, and GA. You will educate staff, implement programs, and ensure regulatory compliance to maximize reimbursement and outcomes.

The role requires residing in the Raleigh area with travel to centers as needed. We offer competitive salary and full benefits including BCBS, PTO, 401k, life insurance, tuition reimbursement, CEUs, and travel reimbursement, supporting

Qualifications

• Active RN license with 5+ years of licensed nursing experience.
• 3+ years MDS experience in long-term care / rehabilitation.
• Comprehensive knowledge of PDPM, RAI guidelines, and related reimbursement rules.

Responsibilities

• Lead and manage the RAI process across multiple facilities.
• Educate staff and train on PDPM/RAI programs and policies.
• Develop and implement programs to maximize resources and ensure regulatory compliance.
• Serve as liaison between local centers, regional leadership and Rehabilitation Services leadership.

Skills

RN license

MDS experience

PDPM knowledge

RAI guidelines

Multisite management

Education

ASN or higher 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

• Sincere Appreciation for everyone
• Hearing Needs and responding quickly
• Caring Approach in everything we do
• Managing Situations for positive outcomes

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