"Alerted.org

Clinical Assessment Specialist (DAY SHIFT) Job Location: Wallingford Center, Connecticut

Clinical Assessment Specialist (DAY SHIFT)

40 hrs/wk Day Shift

Summary of Position:

Responsible for the coordination of the Minimum Data Set (MDS) care planning and the financial component associated with MDS.

Essential Duties and Responsibilities:

1. Implements and monitors Reimbursement Assessment Instrument (RAI) system and processes related to continuous flow of services from admission through treatment, reassessment and discharge for all patients/residents of designated care units.

2. Determines all Assessment Reference Dates (ARD) and creates/monitors MDS schedules for patients/residents based on input from other disciplines. Communicates with Interdisciplinary team daily for necessary changes in time frame.

3. Collaborates with the Interdisciplinary team s to coordinate the planning, development and implementation of a comprehensive care plan.

4. Oversees compliance with Medicare Certifications for all Medicare A / PPS patients/residents on the designated units.

5. Regularly prepares and distributes Medicare Notices for patients/residents on the designated units.

+ Communicates with Finance/Billing office regarding Medicare status and coverage as needed. Participates in monthly triple check process for all medicare claims.

+ Collaborates with the Health Information Department (HIM) to ensure appropriate documentation is submitted to government/private pay agencies in conjunction with the MDS process.

+ Maintains flexibility in work schedule/assignment to meet the needs of the Clinical Reimbursement department to include on call/weekend coverage.

+ Participates in educational programs, inservices, meetings, workshops and utilizes current literature to enhance professional skills and knowledge. Maintains current working knowledge for all changes in the RAI system and PPS.

+ Understands and follows standard infection control practices as it pertains to their department.

+ Performs other duties as assigned.

Minimum Qualifications:

Education: Graduate of school of professional nursing.

Experience: Five years clinical experience with knowledge in financial, regulatory and legal aspects of healthcare. Previous experience with MDS, care planning, clinical reimbursement including PDPM and current Medicare reimbursement processes are required.

Certificates, Licenses, Registrations: Current Connecticut State RN licensure preferred.

RAC-CT certification preferred.

Key Competencies:

Clinical knowledge of the geriatric population. Good interpersonal and communication skills. Team building skills. Self motivated, able to work independently. Strong organization skills. PC literate.

Provides care and services that demonstrate behaviors and the principles of person-centered care including affording people dignity, respect and compassion, offering coordinated care, support and treatment and care that is personalized.

This description of job responsibilities is intended to reflect the essential responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.

Job ID: 14177

Share this Job

Share this job with your friends and connections.

+ Facebook

+ X

+ LinkedIn

+ Email

Job Alerts

Email Address

Areas of Interest Search for a category, location, or category/location pair, select a term from the suggestions, and click "Add".

Category

Location

Add

+ Professionals, Wallingford Center, Connecticut, United States Remove

+ Remove

Confirm Email

Submit

Submit Resume and Cover Letter

Useful Links

+ Masonicare Website (http://www.masonicare.org/)

+ Why Masonicare

+ Mystic Community

+ Job Fairs

+ Hospice

+ Behavioral Health

Similar Jobs

+ RN Nursing Supervisor (NIGHT SHIFT) Wallingford Center, Connecticut

+ RN Nursing Supervisor (EVENING SHIFT) Wallingford Center, Connecticut

+ RN Behavioral Health Nurse (NIGHT SHIFT) Wallingford Center, Connecticut

Job Matching

With just one click and a connection to LinkedIn we can find jobs for you that best match you work experience.

Start Matching

Search By Category

Administrative Support Workers Jobs7

Craft Workers Jobs4

First/Mid-Level Officials and Managers Jobs2

Hospice Jobs7

Operatives Jobs1

Professionals Jobs29

Sales Workers Jobs1

Service Workers Jobs188

Technicians Jobs23

Search Jobs by Location

+ Cheshire Jobs1

+ Chester Center Jobs8

+ Connecticut Jobs255

+ Danielson Jobs1

+ Enfield Jobs1

+ Farmington Jobs10

+ Glastonbury Jobs1

+ Manchester Jobs1

+ Meriden Jobs1

+ Mystic Jobs17

+ New Haven Jobs1

+ Newington Jobs1

+ Norwich Jobs7

+ Old Lyme Jobs1

+ Plainfield Jobs1

+ Rocky Hill Jobs17

+ Shelton Jobs51

+ Suffield Depot Jobs1

+ Trumbull Jobs1

+ Uncasville Jobs2

+ United States Jobs255

+ Wallingford Center Jobs130

+ West Hartford Jobs1

Search by Job Groups

+ Danielson Service Workers Jobs1

+ Enfield Service Workers Jobs1

+ Glastonbury Service Workers Jobs1

+ Manchester Service Workers Jobs1

+ Meriden Service Workers Jobs1

+ New Haven Service Workers Jobs1

+ Newington Service Workers Jobs1

+ West Hartford Service Workers Jobs1

+ Farmington Professionals Jobs1

+ Old Lyme Professionals Jobs1

+ Trumbull Professionals Jobs1

+ Norwich Technicians Jobs1

+ Plainfield Technicians Jobs1

+ Suffield Depot Technicians Jobs1

+ Cheshire Technicians Jobs1

+ Old Lyme Hospice Jobs1

+ Trumbull Hospice Jobs1

+ Wallingford Center Hospice Jobs1

+ Farmington Administrative Support Workers Jobs1

+ Mystic Craft Workers Jobs1

+ Rocky Hill First/Mid-Level Officials and Managers Jobs1

+ Shelton First/Mid-Level Officials and Managers Jobs1

+ Norwich Sales Workers Jobs1

+ Rocky Hill Operatives Jobs1

+ Norwich Service Workers Jobs2

+ Uncasville Service Workers Jobs2

+ Rocky Hill Technicians Jobs2

+ Shelton Administrative Support Workers Jobs2

+ Norwich Professionals Jobs3

+ Wallingford Center Craft Workers Jobs3

+ Norwich Hospice Jobs4

+ Wallingford Center Administrative Support Workers Jobs4

+ Shelton Professionals Jobs5

+ Shelton Technicians Jobs5

+ Mystic Technicians Jobs6

+ Wallingford Center Technicians Jobs6

+ Farmington Service Workers Jobs8

+ Chester Center Service Workers Jobs8

+ Mystic Service Workers Jobs10

+ Rocky Hill Service Workers Jobs13

+ Wallingford Center Professionals Jobs18

+ Shelton Service Workers Jobs38

+ Wallingford Center Service Workers Jobs99

Masonicare Main Campus

22 Masonic Avenue | Wallingford, CT 06492

Masonicare HelpLine:888-332-0033 (tel:8883320033)

Follow Masonicare:

Copyright 2025 - All Rights Reserved -Masonicare.org

Quick Links

Donate Now (https://masonicare.theworxgroup.com/support-masonicare/donate-today)

Patient Portal

Masonicare HelpLine

MasonicareCONNECT

News & Media (https://masonicare.theworxgroup.com/helpful-answers/news-media)

Employee Portal

Board Member Portal (https://homeconnect.masonicare.org/vpn/index.html)

Privacy Policy

Terms of Use (https://masonicare.theworxgroup.com/contact-masonicare/terms-use)

Statement of Non-discrimination

Emergency Preparedness Guide (https://portal.ct.gov/DPH/Communications/Emergency-Preparedness--Response/Publications)

I am a Mason

An Ageless Commitment to Caring