MDS Assessor

Apploi; New York (NY); On-site; USD 100,000 - 115,000; Full time

Benefits offered by this job

An Equal Opportunity Employer

Job summary

Phoenix Rehabilitation and Nursing Center is seeking an experienced MDS Assessor to join our team. The candidate will complete the Resident Assessment Instrument and coordinate care as a case manager with physicians, families, and payers.

The role requires an active RN license, at least one year in long-term care, and strong critical thinking. You will lead MDS/CAA, ARD, and RUG scoring and ensure timely electronic submissions and multidisciplinary collaboration.

Qualifications

• Current active RN license in the state of practice.
• Minimum of one year of experience in a long-term care setting.
• Training program available for RN candidates with demonstrated assessment skills.

Responsibilities

• Oversee MDS, CAAs and Care Plans per regulations.
• Act as in-house Case Manager coordinating with physicians, families, payers and staff.
• Identify regulatory risks and resource capture for MDS outcomes.
• Capture ARD and RUG score after selecting assessment reason.
• Understand MDS payers: Medicare, Managed Care, Medicaid.
• Ensure timely electronic submission to the state database and follow up on validations.
• Lead Care Management Process with the resident, IDT and family for discharge planning.
• Educate IDT on RAI process and training of new/updated processes.
• Analyze QI/QM data to identify trends monthly.
• Participate in committees as required.

Skills

Registered Nurse

Care coordination

Critical thinking

Team collaboration

Education

RN license

Job description

MDS Assessor

The Phoenix Rehabilitation and Nursing Centeris looking for a talented and hard-working MDS Coordinatorto join our ever-growingteam.
We are seeking qualified candidates who have experience as an RN and are committed to help our patients and facilities receive the support they need.

Responsible for completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures.
Acts as in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility staff.

Essential Job Functions

• Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans, in accordance with current federal and state regulations and guidelines that govern the process
• Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals and third party payers
• Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional information that has an affect on the clinical and operational outcomes of the Facility/Community
• Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures the RUG score which reflects the care and services provided
• Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid
• Ensures timely electronic submission of all Minimum Data Sets to the state data base. Reviews state validation reports and ensures that appropriate follow-up action is taken
• Facilitates the Care Management Process engaging the resident, IDT and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting
• Directly educates or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are involved with the RAI process. Teach and train new or updated RAI or company processes to interdisciplinary team (IDT) members as needed
• Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis
• Responsible for timely and accurate completion of Utilization Review and Triple Check
• Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator

Qualifications

• Registered Nurse with current, active license in state of practice.
• Minimum of one (1) year of experience in a long term care setting
• Training program available for RN candidates with demonstrated assessment skills

Salary: $100,000 to $115,000 a year

The position is at the location of the nursing home

An Equal Opportunity Employer