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Join to apply for the LVN MDS COORDINATOR role at Regency Integrated Health Services, LLC
Job Location
Country Meadows Nursing and Rehabilitation Center - Corsicana, TX
Job Details
- Position Type: Full Time
- Job Category: Nurse
Description
Primary Responsibilities
- Coordinate the Resident Assessment Instrument (RAI) process for accurate and timely resident assessments in accordance with Medicare, Medicaid, OBRA, and other payer requirements.
- Ensure assessments accurately reflect residents' physical, mental, and psychosocial status, with proper documentation to support services and assessment accuracy.
- Communicate effectively with the interdisciplinary team.
- Follow all RIHS policies and procedures.
Essential Functions
- Ensure timely, accurate, and complete assessments of residents' health and functional status.
- Participate in pre-admission processes for MDS/Case Mix optimization.
- Complete Medicare/Medicaid case-mix documents for proper reimbursement.
- Collaborate with the Director of Rehab for assessment reference dates.
- Track Medicare/Managed Care eligibility and communicate with relevant parties.
- Gather information for Managed Care Utilization Reviews.
- Ensure Medicare Program requirements are met, such as physician certifications.
- Perform concurrent MDS reviews for appropriate RUGs categorization.
- Participate in interdisciplinary team processes for care planning.
- Complete all MDS assessments accurately and timely, including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change assessments.
- Identify significant status changes and implement appropriate assessments.
- Maintain an assessment schedule and analyze default days, taking corrective actions.
- Perform modifications/inactivations of assessments as per CMS policies.
- Audit MDS processes and validate coding and documentation.
- Ensure timely electronic submission of MDS data and maintain backup personnel.
- Review validation and late/missed assessment reports regularly.
- Communicate with the Business Office and Administrator regarding RUG distribution and reimbursement impacts.
- Participate in daily, weekly, and monthly meetings related to case management and care levels.
- Serve as a resource for RAI and Care Management processes.
- Utilize AIS for training and educational purposes.
- Assist in training new staff on RAI processes and updates.
Other Duties
- Manage departmental operations and maintain organized data.
- Stay informed of reimbursement regulations.
- Communicate regularly with the Regional Care Management Specialist.
- Support flexible work hours as needed.
- Demonstrate strong clinical assessment and documentation skills.
- Work well in a team environment.
Key Competencies
- Analytical and logical reasoning
- Problem solving and time management
- Organizational and research skills
- Excellent verbal and written communication skills
Qualifications
Educational/Training Requirements
- Graduate of an accredited nursing school with current R.N. or L.V.N. licensure.
- RN required for specific functions; LVN may fill other roles.
- Complete RIHS MDS/RUGs training within 90 days of employment.
- Proficiency in office and MDS/RAI software applications.
- High initiative and leadership ability in interdisciplinary teams.
Licensing Requirements
- Licensure in the state of employment.
Experience Requirements
- Minimum of two years in healthcare.
- Experience with MDS, reimbursement, or case management preferred.
Physical Demands
Physical requirements include communication, lifting, carrying, pushing/pulling, standing, sitting, walking, and other activities as detailed, with accommodations available for disabilities.