RN - MDS Coordinator - Long Term Care - Full Time (Benefit Eligible) at Abarca Health

Freeman, South Dakota, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Long Term Care, HealthcareIndustries

Requirements

Registered Nurse (RN) with an active license in the state of practice upon hire
Preferred: 1-3 years Long Term Care nursing with MDS experience
Ability to work day shift (8:00 a.m. - 4:30 p.m.), full time (at least 80 hours per pay period)
Visual acuity adequate to perform position duties
Ability to communicate effectively, hear, understand, and distinguish speech and other sounds

Responsibilities

Coordinate daily resident care, including comprehensive assessments, care conferences, and written plans of care
Oversee admission, discharge, and transitions of care
Complete quarterly, annual, and significant change observations and assessments in a timely manner
Act as resident advocate and provide leadership, organization, and direction to the nursing department
Audit resident charts, care plans, and charting to ensure documentation supports care provided and reimbursement level
Complete and transmit MDS assessments and reports per regulatory requirements and facility policies
Identify and communicate needs for significant change in status assessments
Ensure compliance with Medicare, Medicaid, and other benefit program guidelines
Maintain working relationships with all disciplines involved in resident care planning
Complete Discharge Assessments and entry/re-entry tracking forms per Federal regulations
Schedule MDS assessments, maintain monthly calendar, and notify IDT of schedule changes
Electronically submit MDS information, review, revise, correct, and resubmit as needed
Contribute to interdisciplinary care plans by communicating pertinent resident issues
Participate in facility QA initiatives
Train as part of the Infection Control team for Long Term Care
Follow policies on fire, tornado, evacuation, disaster plans, universal precautions, infection control, and hazardous/chemical communication
Mentor new employees and assist with their orientation
Lead by example, following CARE standards

Skills

MDS Coordination

Resident Assessment

Care Planning

MDS Assessment

Chart Auditing

Medicare Compliance

Medicaid Compliance

Discharge Assessment

Interdisciplinary Team

Regulatory Compliance

Electronic Submission

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters

2005Year Founded

VENTURE_UNKNOWNCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

Risks

Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.

Growing focus on specialty drugs may require platform adaptation.

Shift towards price transparency could pressure Abarca's pricing models.

Differentiation

Abarca Health's Darwin platform is highly adaptable and user-friendly.

The company offers innovative programs like Triple S en Casa for home delivery.

Abarca Health ensures compliance with ever-changing healthcare regulations.

Upsides

Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.

Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.

Recognition as a top IT workplace attracts top talent, driving innovation.

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