MDS

Pine Grove Manor Skilled Nursing; St. Louis (MO); On-site; USD 70,000 - 90,000; Full time

Job summary

Pine Grove Manor Skilled Nursing is seeking an experienced MDS Coordinator to support the Director of Nursing and RN Assessment Coordinator in ensuring all documentation meets Federal, State, and Certification guidelines.

The role manages the RAI process, validates MDS, CAAs, and the Interdisciplinary Care Plan, coordinates audits, and tracks submissions in PointClickCare to support accurate payment data and timely regulatory compliance.

Qualifications

• Nursing degree and state RN/LVN license.
• 2+ years nursing experience in a Skilled Nursing Facility.
• Strong knowledge of Case-Mix, Medicare PPS, Medicaid reimbursement, OBRA and MDS processes.

Responsibilities

• Assists the center in assuring adherence to Federal and State regulations and certification.
• Participates in the regulatory or certification survey process and the correction of deficiencies.
• Reports trends from completed audits to the Quality Assurance Committee.
• Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system.
• Follows up with staff to assure compliance to documentation standards.
• Completes patient assessments, data collection, and interviews staff to assure good practice per MDS User’s Manual.
• Facilitates accurate determination of the Assessment Reference Date reflecting patient needs and resources for Medicare/Medicaid and insurance payments.
• Ensures timely submission of the MDSs to the State with proper follow-up on validation errors and maintains records.

Skills

Regulatory compliance

MDS process knowledge

Audit reporting

Interdisciplinary coordination

Education

RN or LVN program

Licensed in state of practice

Tools

PointClickCare

Job description

Objective

The MDS Coordinator assists the Director of Nursing and the RN Assessment Coordinator with ensuring that documentation in the center meets Federal, State, and Certification guidelines. The MDS Coordinator coordinates the RAI process assuring the timeliness, and completeness of the MDS, CAAs, and Interdisciplinary Care Plan.

Principal Responsibilities

• Assists the center in assuring adherence to Federal and State regulations and certification.
• Actively participates in the regulatory or certification survey process and the correction of deficiencies
• Reports trends from completed audits to the Quality Assurance Committee
• Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system.
• Follows up with staff when necessary to assure compliance to standards of documentation.
• Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual.
• Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
• Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion.

Qualifications

• Graduate of an approved Registered Nurse / License Vocational Nurse program and licensed in the state of practice required.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred. Excellent knowledge of Case- Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. Through understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set. Knowledge of the care planning process.