MMQ Case Manager

Essential Job Functions:

• Acts as a staff resource for Medicaid questions.
• Communicates effectively to staff, residents, and families.
• Conducts weekly MMQ chart audits for residents.
• Insures that Quarterly MMQ's are completed per regulations.
• Analyze Quarterly MMQ statistics and advises Administrator and staff.
• Prepares quarterly reports for Medicaid reimbursement and provides updates/corrections.
• Provides in-services regarding Medicaid program requirements.
• Routinely monitors staff charting and notes to ensure compliance with family standards.

Requirements:

• Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved nursing program in Massachusetts.
• Must possess a current, unencumbered, active license to practice as a nurse in Massachusetts.
• Must have good working knowledge of Medicaid
• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Must have patience, tact, a cheerful disposition, and enthusiasm, & be willing to handle residents based on whatever maturity level at which they are currently functioning.