medicare coordinator

Specialties MDS

Published

Our facility just became dually certified as SNF/ICF. I was wondering if anyone could tell me their main duties as a medicare coordinator. I just switched to this position after 13 years as an MDS nurse. My boss has not given me a job description and I would like some feedback that I can give to her to get this done. Currently I am overseeing the skilled documentation, evaluate elders for admission, ensuring physician certifications are completed in a timely manner, setting ARD dates and manage the medicare meetings weekly. Can someone let me know what other duties you do in this job? Anything would be very helpful. Thank you!

Specializes in LTC, Hospice, Case Management.

I think the medicare coordinator should be the one that pulls all the pieces together. For example if someone is admitted post an ortho surgery, you would need to make sure that the follow up ortho appointment gets made. If someone is admitted with Lovenox (or even and antibiotic), you would need to make sure there is a stop date, etc. Unfortunately it seems these types of things are often missed in the hustle of the day. The unit coordinator needs to be able to manage this.

Specializes in MDS/Office.

Guess I am a little confused...Not sure if you mean a Medicare Case Manager or a Unit Coordinator for the Medicare Unit?

Our Case Manager handles all the Managed Care Insurances but our Unit Manager on the Medicare Rehab to Home Unit oversees the Nurses on the Unit & helps them out/works the floor at times...Big Difference...

I definately would want a job description...this job may consist of more than what you bargained for.

Basically overseeing the skilled admissions and documentation, ensuring we are documenting what we need to support our services given; not a unit coordinator or case manager.

Specializes in gerontology.

if it were me, I would find me a Medicare Bootcamp and insist on being sent. You can Google that and find the schedules of some trainers.

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