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MMQ Nurse

Employer
Mattapan Health and Rehabilitation Center
Location
South Boston, MA
Closing date
May 15, 2021

View more

Profession
Nurse
Specialty
Medical Management
Mattapan Health and Rehabilitation Center - JOB PURPOSE:
The MMQ Coordinator is responsible for ensuring timely and accurate completion of all MMQ assessments per state requirements.
Company Benifits:

• Medical/Dental/Vision insurance

• Sign On Bonus Program

• Referral Bonus Program

• 401(k) retirement plan

• Short-term and long-term disability coverage

• Life insurance

• Vacation/Hoidays/Sick/Personal Days

• Ongoing Education with CEUs

• Education/Tuition Assistance Program
ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for the accurate completion of Management Minutes Questionnaire (MMQ) for all residents as needed: Semi-annually, upon Conversion to Medicaid or Medicaid Pending, Admission to Medicaid and with Significant Change.

• The MMQ Coordinator will work with team members to assure good communication of resident needs and goals. Observe for and communicate any changes in resident care to appropriate team members.

• Completes full chart reviews/audits of all documentation to ensure accuracy of care delivered as part of the MMQ completion process to ensure the facility is accurately reimbursed for care provided.

• Provides administration with statistical information, as requested, on all residents to be used for acuity, trends, and revenue tracking.

• Generates electronic MMQ file and submits to Mass Health per MMQ requirements.

• Prepares for and Manages Department of Medical Assistance MMQ audits and develops a plan of action for any identified areas of concern.

• Attends the Department of Medical Assistance MMQ exit conference.

• Reviews for, coordinates, writes and submits MMQ appeal letters within the allowable time frames as indicated after MMQ Audit reductions.

• Provides education to all facility staff as needed to ensure compliance for MMQ documentation completion requirements and to ensure accurate assessment, documentation and reimbursement for care provided.

• Communicates with Business Office Manager to ensure accurate Medicaid billing or estimated MMQ revenue reporting for the effective or estimated MMQ level for each resident.

• Performs additional duties as assigned.
POSITION REQUIREMENTS:

Must be a graduate of an approved school of nursing.
Nursing License in the state in which you will practice required. RN preferred.
Knowledge of MMQ requirements required.
Minimum 3 years experience in long term care.

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