US-MA: Medford-MMQ Nurse
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Job Title: MMQ Nurse
Job Location: MA: Medford
Pay Rate: Open
Job Length: full time
Start Date: 2008-05-15
Company Name: Genesis HealthCare & Genesis Rehab Svcs
Contact: Human Resources
Phone: (610) 444-6350
Fax: (610) 925-4000
Description: MMQ Nurse- Medford, MA
RN or LPN- Experienced
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.
Contact: Mary Reynoso- Toll free: 866-633-4471
email: mary.r...@genesishcc.com
SPECIFIC EDUCATIONAL REQUIREMENTS:
• Graduate of an accredited School of Nursing with a current RN or LPN licensure in the state in which employment occurs is required.
• Experience with MMQ completion, reimbursement, clinical resource utilization is highly desirable.
18683
Please refer to Job code 18683 when responding to this ad.
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