Chestnut Hill Lodge Rehabilitation and Nursing Center is committed to the highest level of excellence and it shows in the quality of people we hire. If you take pride in being part of a friendly, respectful, caring, safe and collaborative environment, you belong with us. We are dedicated to providing quality continuing care and support while respecting the dignity of all individuals regardless of their race, gender, political preference, sexual orientation, genetics, religion, natural origin or creed.

The Nurse Assessment Coordinator (LNAC) is an integral part the Clinical Reimbursement team that ensures the accurate and timely resident assessments in accordance with Medicare, Medicaid, OBRA and other payor program requirements. As an LNAC you are responsible for:

Responsibilities include:

• Ensures timely, accurate and complete assessment of the residents’ health and functional status during the entire assessment period.
• Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the facility.
• Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments.
• Performs concurrent MDS review to assure appropriate RUGS category is achieved through the capture of appropriate clinical information. Identifies opportunities to enhance reimbursement.
• Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay and ensures the accurate and timely completion of all MDS assessments. Performs modifications and inactivations of assessments in accordance with CMS Correction Policy. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes and utilization of Data Integrity Audit reports per company policy. Ensures the timely electronic submission of all Minimum Data Sets.
• Communicates with insurance Case Managers to obtain authorizations, provide clinical updates and actively participate with weekly Utilization Meetings.
• Communicates with the Business Office and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index, if applicable, and their reimbursement impact.
• Participates in the month end Triple Check and other meetings as appropriate
• Functions as and RAI and Clinical Reimbursement resources to the facility staff.
• Other duties as assigned.

Qualified applicants must also have:

• Must be a graduate of an accredited school of nursing with a current LPN license in Pennsylvania.
• Two years of experience as an LNAC in healthcare setting; long term care is preferred.
• Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is important as is experience using PointClickCare or other Health Information Management system.
• Complete all company specific MDS/RUGS training modules within the first 90 days of employment and ongoing per company policy.
• High initiative, efficiency and effectiveness In coordinating and managing the RAI process.
• Excellent interpersonal and organizational skills as well as the ability to work flexible hours to support business requirements.