The ADR Resource Specialist manages Additional Documentation Requests, audits, denials, and appeals across multiple skilled nursing facilities. They also review medical records for compliance and educate facility teams on documentation best practices.
The PDPM Clinical Resource Nurse serves as a regional subject matter expert to ensure accurate reimbursement, MDS coding, and regulatory compliance across multiple facilities. They provide ongoing education, coaching, and auditing to facility teams to optimize clinical documentation and financial performance.
The specialist will conduct workplace investigations, manage employee and labor relations, and provide expert guidance on conflict resolution and compliance. They will also partner with facility leadership to support union and non-union environments while monitoring workplace trends to improve engagement.
