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MDS/Clinical Evaluator, SNF - Certified 2 (Villa), Sharp Coronado Hospital

Job ID: 100331 Date posted: January 15, 2020

  • Sharp Coronado Hospital and Hlth
  • SNF - Certified 2 (Villa)
  • Day Job
  • Full-Time

Success Profile

Wondering what qualities it takes to be a successful nursing professional at Sharp? View some of the traits we’re looking for below.

  • Innovative
  • Collaborative
  • Resourceful
  • Advocate
  • Person-Centered
  • Critical Thinker

Responsibilities

Summary

The MDS Coordinator-Clinical Evaluator coordinates the completion of the Resident Assessment Instrument (RAI) and MDS and facilitates transmission to the Centers for Medicare and Medicaid Services (formerly the Health Care Finance Administration (HCFA). The transmission of the MDS to CMS determines Medicare payment to the facility under the prospective payment system (PPS). Evaluates patients/clients for admission to Rehabilitation Continuum of Care. Works with clinical oversight (i.e. review/consultation by MD, PA, RN, etc.) to coordinate admissions into the Sharp system. Identifies and admits patients/clients into the "appropriate level of care" including Acute, Skilled Nursing and Sub-Acute. Ensures service access and meets referral source needs through quality assessments, triage, service delivery, and care coordination. Provides/coordinates ongoing education of referral sources to improve customer relationships. Provides marketing/sales services to support program growth.

The Sharp Villa Coronado Skilled Nursing Facility and Sharp Coronado Sub-Acute Units provide long-term care to patients in San Diego. They have four levels of care: Custodial, Transitional, Sub-acute and Hospice. Individualized care plans are developed for each patient, and nursing care is focused on the patient’s health and social, emotional and spiritual well-being. Treatment plans are designed to help each patient achieve maximum independence and dignity.

Sharp Coronado Hospital offers a range of long-term care options to help our patients live their lives with dignity, heal to the highest degree possible, and grow in all the ways that have meaning for them.

Personalized programs and services bring comfort to patients in a homelike environment. All long-term care patients have access to clinical services including: 24-hour licensed nursing care, enteral therapy, integrative therapies including Healing Touch and aromatherapy, intravenous therapy, medication management, pain management, physician, podiatrist and dental visits. The Sharp Villa Coronado Skilled Nursing Facility has a 50-bed capacity, and the Sharp Coronado Sub-Acute Units have a 68-bed capacity.

From emergency services to a nationally recognized total joint replacement program, Sharp Coronado Hospital is a 204 bed facility that has a long tradition of providing top-quality, comprehensive health care.

Sharp Coronado incorporates many personalized aspects into its care philosophy — including patient empowerment, patient and family education, and a physical environment that promotes healing through complementary therapies such as clinical aromatherapy, massage and Healing Touch. Sharp Coronado Hospital is one of the first five hospitals nationally to be designated as a Person-Centered Hospital by Planetree, an organization committed to personalizing, humanizing, and demystifying the hospital experience for patients and their families.

Physical requirements of position may be discussed during interview.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.



Location

This position is located in Coronado, San Diego County

 

Hours

8 hour shift, Full-time, 8:00am - 4:30am, working every other weekend

 

Required Skills and Qualifications

  • California RN license and current BLS certification

  • Current BLS certification issued by the American Heart Association

  • Minimum of one year long term care experience

  • Knowledge of Title 22 and OBRA, the RAI/MDS process, Utilization Management criteria and healthcare finances.

  • Knowledge about care options, clinical goals, anticipated outcomes, regulatory, financial implications and performance improvement.

  • Ability to problem solve complex situations. Independent judgment, decision- making, self-direction and ability to set and achieve priorities.

  • Effective written and oral presentation skills.

  • Excellent customer service and communications skills and the ability to facilitate and coordinate teams.

  • Knowledge of the local health care marketplace, key providers, influencers and community constituencies related to Rehabilitation Services.

  • Understanding of complex payer sources in all major insurance categories.

  • Expertise in the coordination of patient funding.

  • Experience in referral and contractual relationship management.

  • Ability to prioritize, organize and problem solve complex situations.

 

Preferred Skills and Qualifications

  • BSN

  • One to two years MDS coordination experience


Perks

  • Medical, vision and dental

  • Generous time off

  • Flexible schedule

  • Professional growth

  • Wellness Programs

  • Education reimbursement

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Culture/Values

  • Committed to excellence in all that we do
  • Built to be supportive and educational — a place where employees can grow and thrive
  • A positive, compassionate, friendly and team-oriented atmosphere
  • Thankful for the contributions and hard work of others, and praising their accomplishments
  • Committed to creating a safe environment for those we serve
  • Celebrate diversity, recognizing that our unique differences create a stronger whole

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