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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.

MMQ Case Manager

Berkshire Healthcare Systems
Peabody, Massachusetts
Permanent
1 - 2 years of experience
Bachelor

Published on 29 Nov 2021

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