POSITION TITLE: ACFI and Documentation Co-Ordinator (ADC) - RN

POSITION DESCRIPTION

POSITION TITLE: ACFI and Documentation Co-ordinator (ADC) - RN

REPORTING TO: Facility Manager

DATE: 15 May 2015

OVERALL PURPOSE OF POSITION:

Primarily responsible for maximising revenue generated from the assessed care needs of residents through the Aged Care Funding Instrument (ACFI). The ADC is also responsible for ensuring that ACFI documentation accurately supports the subsidy claim, initial care planning and ACFI education.

REVENUE MAXIMISATION:

·  Ensure that the residential care service is achieving the highest possible ACFI funding by pursuing all opportunities for increased claims with each and every resident by:-

o  Ensuring that all ACFI funding opportunities are identified and maximised by regular review and reappraisal of ACFIs in conjunction with an in-depth knowledge of the resident’s condition

o  Undertaking a 100% resident review every 3 months to identify changes to care needs affecting funding

o  Completing all mandatory re-appraisals within the specified timeframes

o  Assessing all residents for annual ACFI re-appraisal and ensuring that approval is sought from the Facility Manager to defer any resident re-appraisal

o  Ensuring that all residents receive an ACFI re-appraisal at least once every 3 years excluding HHH residents

o  Maintaining a ledger of potential or imminent 2 category uplifts subject to assessed care needs and ensure that the uplifts are actioned immediately as the assessed care need is realised.

·  Make sure ACFI management at the facility is planned, co-ordinated, timely and efficient to ensure a systematic approach to ACFI administration by:-

o  Meeting with the Clinical Manager and the Facility Manager at least weekly to discuss potential uplifts, new residents, documentation and ACFI needs

o  Attending handover at least weekly to ensure all staff are aware of current residents undergoing ACFI assessment

o  Regularly monitoring residents undergoing assessment to ensure they are being completed by all staff every day

o  Assessing all residents on their return from hospital for possible uplift.

ADMINISTRATION/REPORTING:

·  Provide accurate and timely ACFI forecasts on prospective residents when requested. Documentation review, discussions with other health providers, the resident and the resident’s family and site visits may be used to make the most accurate forecast

·  Reconcile Provider Transaction Report against previous month’s ACFI claims monthly to ensure ACFI submissions are accurate

·  Submit the ACFI Management Report to the ACFI and Revenue Manager monthly

·  Submit the Oxygen Treatment/Enteral Feeding report to accounts monthly

·  Maintain ACFI files to ensure ACFI packs are stored in a secure area to enable easy and quick retrieval.

VALIDATION:

·  Ensure ACFI documentation is accurate and supports the ACFI claim

·  Be present during ACFI validations to support ACFI submissions under review by clarifying, defending and completing funding claims as required

·  Ensure Medicare acceptance of all ACFI submissions.

CARE PLANNING/DOCUMENTATION:

·  Instigate and coordinate the implementation of assessments and complete and sign off on the initial care plan for all new residents on admission

·  Ensure resident assessments, initial care plans / reviews and other relevant clinical documentation are completed accurately and reflect the individual resident care needs.

EDUCATION

·  Deliver ACFI education during orientation of new employees and annual essential training, providing an overview of ACFI documentation requirements.

·  Determine, organise and deliver training and support to facility staff in respect to the ACFI in conjunction with the ACFI and Revenue Manager.

WORK HEALTH AND SAFETY

The incumbent has the responsibility to comply with and meet all obligations contained in:-

1)  Work Health and Safety (WHS) legislation;

2)  Related WHS responsibilities; and

3)  TriCare’s Injury Risk Management (IRM) standards.

PROFESSIONAL DEVELOPMENT

·  Attend internal Aged Care Division conferences / workshops etc.

·  Attend ACFI networking or workshops as required.

KNOWLEDGE & SKILLS:

·  A higher level knowledge and understanding of the ACFI instrument in aged care residences

·  An understanding of ACFI financial reports/figures and an ability to undertake financial analysis in regard to funding

·  Evidence of success in developing / maintaining business orientation to ACFI and income

·  Demonstrated ability to utilise ACFI to optimise funding / income

·  Ability to work co-operatively as a member of the Management group (Facility Manager, ClinicalManager, ACFI and Revenue Manager)

·  Knowledge of business rules for ACFI

·  Excellent and demonstrated verbal, written and interpersonal communication skills

·  Knowledge and ability to use computers and technology efficiently

·  Well-developed problem solving and time management skills.

QUALIFICATIONS AND EXPERIENCE:

·  Registered Nurse with current AHPRA registration

·  Previous aged care experience

·  Experience in ACFI assessment and care planning documentation

·  Experience in Government validation of ACFI claims

·  Have the willingness, clinical expertise and ability to step up into Acting Clinical Manager role

PERSONAL ATTRIBUTES/QUALITIES:

·  Adventurous and driven in identifying and realising opportunities

·  A self-motivated achiever who thrives on successful outcomes

·  A person who can and enjoys working to improve performance targets

·  Able to work co-operatively and constructively within a team

·  Able to deal constructively with conflict and difficult situations

·  Flexible approach to working hours

·  Able to demonstrate time management skills; ability to plan and problem solve

·  To ensure dress and personal presentation reflects the organisation’s standards

·  Performance Appraisal (QPIR)

·  Continuous focus on the ongoing improvement of ACFI funding averages - reviewed on a quarterly basis by ACFI and Revenue Manager.

ACFI and Documentation Co-ordinator (ADC) - RN Version 1 – May 15 Page 3 of 4 Pages