Case Mix Director
at Fundamental

Date Posted: 9/16/2020

Job Description

Case Mix Director

Fundamental Clinical & Operational Services, LLC, is seeking a talented Regional Casemix Coordinator for a group of long term care facilities located in the Greater Houston Area.

About the Position:

The Regional CaseMix Coordinator is responsible for assisting assigned facilities to understand, implement and enhance the PDPM reimbursement system in accordance with established policies and procedures.

Must be familiar with OIG survey process.

Will manage facility OIG surveys as needed and follow up as appropriate.

Works with assigned facilities, individually and in small groups in assessing current Medicaid and casemix status, planning, implementing and evaluating systems to improve the casemix index.

Recommends adjustments or alterations in programs to meet regulatory guidelines and corporate minimum standards.

Plan and facilitate meetings and committees to address facility employee education

Visits assigned facilities at regular intervals.

  • Ideal candidate must be a skilled communicator, director and motivator.
  • Able to organize and prioritize many tasks effectively.
  • Three to five years nursing experience as an RN with primary focus in long term care.
  • Must have valid RN license in TX.
  • Minimum of one year management experience in long term care.
  • RNAC certification a plus
  • Experience in MDS completion, thorough knowledge of PDPM with reimbursement impact, and OIG survey process.
  • Must have good computer skills
  • Must be able to travel extensively by air or car in assigned area, have reliable transportation and proof of insurance.
  • Some overnight travel is required.


We offer a comprehensive benefit package which includes medical/dental insurance, life insurance, short term and long term disability, PTO, 401 (k), tuition reimbursement, flexible spending accounts, in-facility education programs and so much more.

Salary commensurate with experience.

*Equal Opportunity Employer. M/F/Vets/Disabled. Drug-free/Smoke-free work environment.


Req. ID:013837 | 11001 - Fundamental Clinical & Operational Services

Job Snapshot

About Us

At Fundamental, when one person cares for another, it’s more than a profession. It’s a relationship. One based on experience as well as empathy. It is a blending of high-tech with high-touch. It is a relationship nourished by understanding. We seek to understand each patient as the person he or she is; keeping in mind not only the individual’s health needs, but moreover, the individual as a whole.

With this core philosophy, we seek to help patients and their families through what can be a very emotional decision-making process. We provide guidance and consultation on everything from how to choose the facility that’s right for you to providing resources that help you cope with the nature of the decision itself.

Your Choice 365:

A culture change in skilled nursing from a task-oriented, hospital-like environment to one that is more centered around an individual’s needs. The culture envisioned is one where each person’s capabilities and individualities are affirmed and developed. A true improvement of quality of life. Learn how you can become part of this exciting culture change in long term care.

Programs to nurture staff’s professional growth in the healthcare setting. The readily available resources for staff to continue their education coupled with a supportive approach to supervision, teamwork and recognition.

Professional Development:

Education programs for every staff member are offered – to sharpen your current skills or be able to gain new skills. Education programs include Beginner, Intermediate and Advanced Computer Software Application classes, public speaking and many more. Additionally, tuition reimbursement programs are offered for those staff members who wish to continue their education (certain requirements must be met)

Guardian Angel Program:

The Guardian Angel program is focused on providing excellence in caregiving while simultaneously, providing superior customer service to internal and external customers. The Guardian Angel Program connects a staff member to each patient to provide extra attention and support, focusing on quality of life.

Orientation Program/Quick-Start:

An in-depth orientation program developed for various facility employees including Directors of Nursing, Nurse Assessment Coordinators, Charge Nurses, Staff Nurses, Nurse Aides, Rehabilitation Staff, Dietary Professionals, Directors of Admissions, Staff Development and Infection Control Nurses. The goal of this program is to help new staff adjust to the expectations and routines of their position, and to ensure they are aware of all resources available to them.