Lead MDS Resource

Cascadia Healthcare; Eagle (ID); Hybrid; USD 80,000 - 100,000; Full time

Job summary

Cascadia Healthcare is seeking an MDS Resource RN to support facilities in the Southern Idaho region. This hybrid role provides autonomy and tools to succeed, with guidance on MDS 3.0, RAI processes, and data-driven care planning.

Requirements include RN licensure, CMAC or RAC-CT strongly preferred, and at least two years of MDS Coordinator experience. The role involves collaboration with facility teams and adherence to state background checks.

Qualifications

• RN program graduate; Bachelor's degree preferred.
• CMAC or RAC-CT certification strongly preferred.
• At least two years' experience in MDS Coordinator role.

Responsibilities

• Provide support to facility MDS Coordinators and review MDS 3.0 assessments and discharges.
• Oversee regulatory and financial aspects of MDS, PPS, and case mix data.
• Offer on-site consultation for the RAI process and participate in Medicare/Medicaid meetings.
• Ensure correct reimbursement through contract coverage guidelines and care planning data.

Skills

MDS Coordination

Data interpretation

Regulatory knowledge

Education

RN degree

Bachelor's preferred

Tools

PCC system

Job description

Description

The Team is growing! We have recently made some internal moves/promotions and have a rare opportunity for a MDS Resource serving facilities in Southern Idaho Region. This is an exciting role who is offered the tools and autonomy to be successful. This is a hybrid position working with a variety of Skilled Nursing Facilities.

Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each state’s specific background check requirements prior to contact with patients/residents.

Essential Functions

• Provides support to facility MDS Coordinators. Regularly reviews MDS Assessments and discharges.
• Oversees functions related to MDS 3.0, both regulatory and financial.
• Provides on-site consultation for RAI process and attends Medicare/Medicaid meetings.
• Reviews PPS and case mix data for assigned facilities to ensure appropriate utilization from medical record documentation.
• Knows and monitors the Managed Care contract coverage guidelines, outliers, and contracts, to ensure care is provided and billed appropriately.
• Supports the MDS Coordinators and participates in facility-level evaluation of the performance of the MDS Coordinators.
• Utilizes PCC and regularly interprets data from the system.
• Provides MDS training to assigned facilities, as indicated.
• Proactively monitors and reports on the following metrics for the assigned facilities (not all inclusive):MDS, CAA, and care plan completion, accuracy, and timeliness
• Medicare meeting process to include utilization review, weekly Skilled Services meetings and triple check
• Medicaid meeting process and CMI
• QRP calculation
• Appropriate lengths of stay for residents
• 30-Day post return to acute care ratings
• Correct reimbursement is obtained for appropriate care and service provided
• Quality Measures
• Five Star Ratings

Other Functions

• Performs other tasks as assigned.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, applicable federal and state laws, and applicable professional standards.

Requirements

Education

Graduate of a RN program. Bachelor’s preferred.

Licenses/Certification

Registered Nurse (RN) license.
Certified MDS Assessment Coordinator (CMAC) or Resident Assessment Coordinator – Certified
(RAC-CT) strongly preferred.

Experience

At least two years in MDS Coordinator position required.