Plan Design Coordinator works closely with clients to design group health, dental and/or life insurance plans to create an overall benefit package. Works alongside underwriters, but is not an underwriter role. Being a Plan Design Coordinator ensures that plan meets appropriate internal, as well as legislative guidelines. Requires a bachelor's degree or its equivalent. Additionally, Plan Design Coordinator typically reports to a supervisor or manager. The Plan Design Coordinator works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Plan Design Coordinator typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
SUMMARY: The MDS / Care Plan Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.
PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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