Director of Clinical Assessment for Skilled Nursing Services at CHSGa

Gray, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Aug, 26

Salary

0.0

Posted On

03 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical assessment, RAI process, MDS management, Regulatory compliance, Servant leadership, Team management, Reimbursement, Case mix, PPS, Clinical auditing, Staff training, Project management, Strategic planning, Healthcare regulation, Communication, Registered nursing

Industry

Hospitals and Health Care

Description

Join us at Ethica Corporate Office – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities Knowledge and Experience Requires broad management knowledge to lead a team within a department or unit. Typically has mastery level knowledge and skills within a specific technical or professional discipline with broad understanding of other areas within the department. Exhibits servant leadership by serving to negotiate and compromise with parties who may have conflicting objectives. Team Oversight, Leadership &Talent Management Commits to Servant Leadership, further developing skills identified in our Attitudes & Attributes. Invests in mentorship – as a mentee and mentor. Manages a large team typically comprising of other Managers and/or experienced professionals. Typically has hiring, firing, promotion and reward authority within own area, in accordance with manager review and approval. Strategy and Organizational Impact Manages large team which would typically consist of both experienced professionals and managers. Focuses on tactical and operational plans with short-to mid-term focus (1-2+ years). Problems faced may be difficult to moderately complex. Influences others outside of own job area regarding policies, practices, and procedures. Focus, Innovation and Complexity Responsible for making moderate to significant improvements of processes, systems or services to enhance performance of department. Commits to the project management process. Strategically considering business case, resource investment, change management, and implementation elements at all stages of projects when a part of a project team. Communicates within and outside of the System, including partners, customers, or vendors. ESSENTIAL DUTIES AND RESPONSIBILITIES Provides clinical leadership, support and management to the RAI team. Ensures consistent work processes across the organization related to clinical assessment and associated regulatory requirements. Serves as a key member of the Skilled Nursing Services clinical team to develop strategies and to execute plans for successful business practices across the organization. Demonstrates collaborative leadership across the System to maintain productive and accountable working relationships related to assigned projects. Maintains current knowledge on state and federal regulation and changes to requirements related to assessment; timely evaluates, communicates and provides recommendations to key leadership across the System. Responsible for ensuring regular compliance audits of clinical assessments are scheduled and completed. Reviews audit results and provides a monthly/quarterly report of completed audits, scores, trends and actions. Works closely with financial team members to assure assessment and reimbursement concerns are resolved. Participates in the investigation of compliance issues related to areas of expertise. Conducts/Coordinates organization wide training related to the RAI process, Case Mix, PPS and other pertinent areas. Reviews/revises protocols, tools and training, as necessary, related to areas of responsibility. Delivers both small and large group training that promotes a successful clinical assessment team. Represents the organization in professional organizations and consults with profession experts for current state of practice and trends in the provision of quality services. Develops and/or maintains external working/collaborative relationships as appropriate. Attends and participates in workshops, seminars, etc. to keep abreast of current changes in applicable field of expertise, as well as to maintain professional licensure, certification and status. Complies with Corporate Compliance and Privacy and Security programs. Attends and participates in mandatory in-services training. Honors patients’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints. Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication. Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System. Performs other duties as necessary to ensure the success of the System. SKILLS AND ABILITIES Knowledgeable of, and able to operationalize rules and regulations governing patient care and treatment related to interdisciplinary RAI process and reimbursement. Able to effectively communicate and present information in a clear and concise manner both orally and in writing to individuals/groups of varying educational backgrounds. Expert knowledge in the areas of RAI, reimbursement and appeals; Able to establish and maintain effective working relationships with associates, department heads, administrators, and health service teams to promote positive outcomes. Communicates well with other associates, patients, family members, and visitors providing warm and friendly greeting and an approachable attitude. MINIMUM QUALIFICATIONS Registered Nursing Degree from an accredited college or university. Bachelor’s degree preferred or enrolled in a program to obtain degree. Minimum of five years’ experience with MDS/RAI Management, education, and direct leadership. Licensed as a Registered Nurse in the State of Georgia or compact state. RAC-CT Certification SUPERVISORY RESPONSIBILITIES Provides supervisory oversight for Regional RAI Specialists. LANGUAGE SKILLS Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or associates of the organization. MATHEMATICAL SKILLS Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. REASONING ABILITY Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format. The ability to deal with problems involving several concrete variables in standardized situations. COMPUTER APPLICATION SKILLS This job requires proficiency with the following computer applications: Microsoft Outlook Microsoft Excel Microsoft Word CERTIFICATES, LICENSES, REGISTRATIONS Licensed as a Registered Nurse in the State of Georgia or compact state; Resident Assessment Certification. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the associate is regularly required to sit, talk or hear. The associate frequently is required to walk. Use hands to finger, handle or feel and reach with hands and arms. The associate is occasionally required to stand. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus. WORK ENVIRONMENT The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet. EEO / M / F / D / V / Drug Free Workplace Ethica Facebook As a non-profit organization, CHSGa provides access to care across the healthcare spectrum in all 159 Georgia counties. We are invested in our organization, our healthcare professionals, and the communities in which we live and work. Our mission inspires us to act boldly to address the needs of a growing, mature population in Georgia. We will continue to innovate and advance change in healthcare to better people’s lives in the state of Georgia.

Responsibilities

The Director of Clinical Assessment provides leadership and management to the RAI team to ensure consistent clinical assessment processes and regulatory compliance. They also develop strategies for successful business practices and conduct organization-wide training on RAI, Case Mix, and reimbursement.