PruittHealth Case Mix Coordinator LPN HCC in Lilburn, Georgia

Case Mix Coordinator LPN HCC



Responsible for the coordination and completion of assessments for each patient including the Resident Assessment Instrument (RAI) and CAAs. This includes all OBRA and PPS assessments in compliance with CMS requirements for completion within LPN Scope of Practice as outlined by State Nurse Practice Acts. Responsibilities include scheduling and maintaining accurate and timely completion of the RAI process, meeting all automation requirements as defined by the regulations, accurate reporting of Resource Utilization Groups (RUGs) to all departments, maintaining roster and census reports, participation inpatient care plan development and review.


1.Communicates between nursing center departments and patient/family members in order to gather information for an effective completion of the MDS to be used to develop a comprehensive plan of care; establishing measurable goals, appropriate intervention, and assignment of responsibility in delivery of care, in accordance with the patient’s wishes.

2.Maintains open lines of communication with consultants, supervisors, and interdisciplinary team. Have effective interviewing skills for the purpose of collecting information from patients, families, and staff members.

3.Conducts/coordinates patient (or family) interviews in compliance with RAI process guidelines.

4.Evaluates each patient’s condition and medical data to determine special needs.

5.Participates in scheduling of assessment/care plan meetings and coordination of schedule with nursing center staff and others (family, therapists, etc.) to provide for appropriate participation.

6.Maintains compliance in participation with interdisciplinary patient assessment and development of care plans within required timeframes and in accordance to regulations within LPN Scope of Practice.

7.Participates in the interdisciplinary review of patient assessment/care plan for accuracy (including timeliness appropriate signatures and dates etc.)

8.Follows RAI process for accuracy according to the RAI guidelines and other accepted standards.

9.Participate in education with the interdisciplinary team and other staff members as needed in the RAI process.

10.Identifies patient needs and make recommendation for skilled rehabilitative services as well as maintenance therapy services.

11.Participates in patient care conferences. May be required to participate in nursing service educational programs in reference to patient assessment and care.

12.Assists in maintaining compliance with federal, state, and local regulations.



Nursing Degree from an accredited college or university, or is a graduate of an accredited/approved LPN program.


Minimum one year experience with RAI process.


Current and unrestricted Licensed Practical Nurse (LPN) licensure in state of practice.


Primary Location Georgia-Lilburn

Schedule Full-time

Shift 1st Shift

Job Posting Sep 6, 2018, 9:47:39 AM

Req ID: 1805816

PruittHealth is an Equal Employment Opportunity employer and does not discriminate in its personnel practices against its partners or qualified applicants for employment based on race, color, religion, sex, national origin or because he or she is an individual with a disability or a protected veteran.