Plan Design Specialist 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 Specialist monitors and analyzes cost trends. May handle more complex plan design. Additionally, Plan Design Specialist requires a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Plan Design Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Plan Design Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
SUMMARY
To perform nursing assessment of residents and documentation review and analysis as needed for completion of resident’s MDS, CAAs and Care Plan in accordance with standards of nursing practices, regulations, and RAI Manual . May lead or direct licensed and non-professional facility staff in the assessment and competition of MDS, CAA and Care Plan process.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
• Maintain and update schedules of MDS’s that are due. • Coordinate the work of the Interdisciplinary Team to complete the MDS, which includes the CAAs and care plan. • Enter or supervise input of MDS into the computer. • Act as the leader of the MDS and care plan meeting. • Coordinate the completion of the care plan, except in those facilities who have a separate Care Plan Coordinator. • Assure that all signatures are present on MDS and care plans. • Supervise and/or lock and transmit MDS data to the State. • Assure that MDS, RAI process and Care plans are completed and transmitted timely. • Monitor QIES website for CASPER reports and initiate correction action and reports as needed. • Assist in audits, denials and ADRs as requested by CES. • Assist in education of facility staff as it relates to the RAI process and compliance, as needed. • QAPI. • Any other duties as assigned by the Administrator.
Requirements:EDUCATION and/or EXPERIENCE
• High-School Diploma or equivalency required. • Associates, Bachelor’s degree or university program certificate. • 2-4 years related experience and/or training or equivalent combination to education and experience required. • Experience as a MDS/Care Plan Coordinator preferred. • Long term care experience preferred.
CERTIFICATIONS, LICENSES, REGISTRATIONS
• RN license in good standing by State.
KNOWLEDGE, SKILLS AND ABILITIES
• Excellent written and verbal communication skills. • Outgoing and energetic personality. • Ability to multi-task while being detail-oriented. • Intermediate computer skills. • Experience with MS Office Word, Excel, and PowerPoint preferred.
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