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Lakeview Terrace Health Care Center Llc And Rehabilation And Health Care Center

Altoona, Florida

About the Job

Responsible for the effective implementation of the overall PPS process, including the timely and accurate completion and transmission of all MDS's. Manages the Medicare residents from pre-admission to discharge. Insures the appropriate documentation completed to support skilled coverage. Works with the other MDS team members to accomplish the daily tasks as required or assigned.


  • Evaluate all inquiries/admissions/re-admissions for possible Medicare coverage. Review new admit packets and initiate the pre-RUG process. Work with PPS team in determining appropriate RUGS level.
  • Possess and maintain good clinical knowledge of all Medicare residents.
  • Ensure Medicare coverage guidelines are met daily for all skilled residents including opening, completing and transmitting Medicare MDS timely physician certifications and supportive documentation.
  • Attend care plan and discharge planning meetings as scheduled.
  • Coordinate nursing services with all other resident care services to assure the smooth integration of interdisciplinary approach to quality resident care. Facilitate communication of the PPS team and daily RUGS meetings. Coordinate with medical records to assure physicians meet government regulations on skilled residents.
  • Maintain a working knowledge of and ensure compliance with all governmental regulations with specific emphasis on Medicare clinical and billing guidelines.
  • Work with physicians, nursing, and administrative staff to insure appropriate and cost efficient ancillary utilization. Responsible for reviewing and insuring accuracy of all Medicare and ancillary billing for Medicare residents.
  • Monitor medical records to assure the documentation reflects the skilled services provided and complies with policies and regulations. Assess residents'' needs and services and the overall PPS process to maximize utilization of Medicare and determine skilled coverage. Monitor residents'' awareness of ending coverage, including an appropriate denial letter and transfer notification. Monitor resident status within a thirty (30) day window of last covered day for skilled services. Monitor MDS's to assure clinical accuracy and timely completion and transmission.
  • Performs other duties as assigned


  • Must hold a current and valid Florida LPN nursing license.
  • Minimum of at least two (1) years experience completing MDS’s.
  • Prefer minimum of three (3) to five (5) years nursing experience in a SNF/LTC facility.
  • Must be capable of maintaining regular attendance as required.
  • Related administrative experience at a level necessary to accomplish this position.

Pre-employment drug screening, background check, and references are required. EOE

Job Type: Full-time


  • Nursing: 3 years (Preferred)
  • MDS: 1 years (Preferred)
Lakeview Terrace Retirement Community is a drug free workplace and an equal opportunity employer.

Job summary


Altoona, Florida

Employment Type

Full Time


At least 2 year(s)

Job Function

Mds/Hc Svcs Coord

Contact Us

Where quality care and solid management go hand-in-hand.

DSI Management, LLC.
1890 State Road 436
Winter Park, FL 32792, USA

For more information on DSI Management's services, or to speak to someone about your specific facility, please call 407-645-3211.

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a leader in Healthcare Management since 1982.