LVN MINIMUM DATA SET (MDS) COORDINATOR – CMM payroll code

Avir Vista; Wichita Falls (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Apploi in Wichita Falls, TX is seeking an LVN to manage the RAI process from admission through discharge, ensuring clinical compliance and funding from Medicare, Medicaid, and managed care pay sources.

You will complete MDS in a timely, accurate manner, develop individualized care plans, and coordinate with multiple clinical teams to optimize case mix and documentation. Strong teaching and communication skills are essential in this role.

Qualifications

• Must be a Licensed Vocational Nurse (LVN) in good standing and currently licensed by the State.
• Completion of post secondary education or other wise able to read, write and follow oral and written directions at a level necessary to accomplish the job.
• Must be able to relate positively and favorably to residents and families and to work cooperatively with other associates.
• Must be capable of maintaining regular attendance.
• Prefer two years experience in long term care with a good working knowledge of Medicare/Case Management/Medicaid.
• Must have knowledge of RAI Process, PPS requirements, Texas Case Mix, reimbursement forms and the necessary documentation.
• Must have computer skills and proficiency.
• Must have excellent communications and teaching skills in both individual and group settings.
• Must be capable of performing the Essential Job Functions of this job, with or without reasonable accommodation

Responsibilities

• Manage the RAI Process from resident admission to discharge to maintain clinical compliance and funding sources.
• Coordinate assessments and services by other clinical departments; liaise to rehab team and oversee data collection tools.
• Attend daily/weekly meetings to monitor MDS/Care Plans and ensure quality assurance.
• Support facility compliance with State, Federal and company QA standards and resident rights.

Skills

Communication skills

Teaching skills

Computer skills

Coordination

Teamwork

Education

LVN license (Texas)

Job description

Job Purpose:

To manage the RAI Process, adhering to Federal and State guidelines, and in accordance with company's policies and procedures.

Essential job Duties and Responsibilities:

Manage the RAI Process from resident admission to discharge in order to maintain clinical compliance and receive funding from Medicare, Medicaid and Managed Care pay sources. Responsibilities include MDS completion in a timely, accurate, documentation-supported and case mix optimized manner; development of individualized care plans reflective of the residents’ status; oversight of the resident care data collection tool; coordination of assessments and services by other clinical departments; liaison to rehab team; audit and survey preparation, implementation and response; managed care clinical authorization and justifications; State-required form completion; activities of daily living (ADL) training and support; restorative nursing program management and other duties related to case mix management.

Responsible for managing the daily PPS/OBRA case management meetings; restorative/rehabilitation and level of care meetings. Attends daily start up, stand up, stand down and weekly standards of care meetings in order to identify resident changes that impact the MDS and/or Care Plan. Participates in weekly standards of care meeting and monthly quality assurance and triple check meetings.

Supports the clinical goals of the facility and participates as a member of the nursing management team to maintain compliance with State, Federal and company Quality Assurance standards and optimize the residents’ quality of life.

Understand, comply with and promote all rules regarding Residents’ rights.

Staff Development: Participate in in-service training, assist in implementing orientation programs and job skills training, maintains professional competence.

Other Duties: Other duties as assigned.

Physical and Sensory Requirements (with or without the aid of mechanical device):

Works in a climate-controlled and well-lighted environment.. Works in an office and throughout the building daily. Has Category 1 risk of exposure to infectious diseases, but receives training in handwashing practices and Universal Precautions and has access to personal protective equipment if direct exposure is anticipated. Is subject to interruptions, noise, and odors daily

Walking, reaching, climbing, bending, lifting, grasping, fine hand coordination, pushing and pulling, ability to distinguish smells, tastes and temperatures, ability to communicate with residents and employees, ability to understand and follow training, ability to instruct staff in service education, and the ability to remain calm under stress.

Qualifications:

Must be a Licensed Vocational Nurse (LVN) in good standing and currently licensed by the State.

Completion of post secondary education or other wise able to read, write and follow oral and written directions at a level necessary to accomplish the job.

Must be able to relate positively and favorably to residents and families and to work cooperatively with other associates.

Must be capable of maintaining regular attendance.

Prefer two years experience in long term care with a good working knowledge of Medicare/Case Management/Medicaid.

Must have knowledge of RAI Process, PPS requirements, Texas Case Mix, reimbursement forms and the necessary documentation.

Must have computer skills and proficiency.

Must have excellent communications and teaching skills in both individual and group settings.

Must be capable of performing the Essential Job Functions of this job, with or without reasonable accommodation

Health Insurance Portability and Accountability Act (HIPAA):

Our Facility is committed to protecting the privacy, security and integrity of individually identifiable health information received from or on behalf of our employees. The Facility adheres to the highest standards of integrity in the performance of its business and is prepared to maintain compliance with HIPPA and other regulatory requirements by adopting and adjusting policies and processes as necessary. All employees are required to adhere to all HIPPA regulations