MDS Consultant

(PACS) Providence Administrative Consulting Services, Inc.; California (MO); Hybrid; USD 120,000 - 130,000; Full time

Job summary

The role requires a BSN, MDS certification, and strong knowledge of CMS and OIG surveys, with a focus on data accuracy, reporting, and staff training across regional facilities.

This position involves leading quarterly workshops, coordinating interdisciplinary teams, and ensuring timely MDS submissions for new admissions.

Qualifications

• A Bachelor’s Degree in Nursing (BSN) or an equivalent Accredited Nursing Program Degree.
• MDS certification is preferred.
• Experience in clinical and management roles, preferably in a regional or corporate setting.
• Knowledge of CMS/OIG surveys and regulations.
• Strong analytical and reporting skills.
• Excellent communication and interpersonal skills.

Responsibilities

• Oversee facilities' weekly PDPM meetings for skilled patients.
• Track and monitor each building's effective utilization of PDPM tools.
• Create meaningful and effective clinical reporting systems between RDO and RDCS.
• Hold Regional MDS workshops monthly on PDPM and CMS regulations.
• Track and monitor QM and QASP performance with data analysis and recommendations.
• Assist in reviewing MDS/PDPM claims for accuracy and trend analysis.

Skills

Analytical skills

Reporting skills

Communication skills

Interpersonal skills

Education

Bachelor's Degree in Nursing (BSN)

MDS certification

Tools

Microsoft Office Suite

Job description

General Purpose

The primary purpose of this position is to oversee the facility to ensure assessments are completed per guidelines. A primary focus is the resident assessment process, which includes individual assessment, MDS assessment, and resident plan of care. Key responsibilities include providing oversight on facilities' weekly PDPM meetings, tracking and monitoring the effective utilization of PDPM tools, creating clinical reporting systems, and holding monthly workshops on PDPM and CMS-related regulations. The role also involves tracking and monitoring QM and QASP performance, assisting in reviewing MDS/PDPM claims, providing training to new MDS Coordinators, and developing performance evaluation systems for MDS Nurses. The consultant will ensure accurate and timely completion of all MDS Assessments and coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for new admissions.

Essential Duties

• Provide oversight on facilities' weekly PDPM meetings for skilled patients.
• Track and monitor each building's effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
• Create meaningful and effective clinical reporting systems between RDO and RDCS.
• Hold Regional MDS workshops monthly on PDPM and other CMS-related regulations.
• Track and monitor QM and QASP performance monthly and quarterly, providing data analysis and clinical recommendations to the facility for optimum outcomes.
• Assist RDCS in reviewing MDS/PDPM claims monthly for accuracy and in creating trend analysis of clinical areas for improvement.
• Provide PDPM and MDS trainings to new MDS Coordinators.
• Develop performance evaluation systems for MDS Nurses in coordination with facility Administrators.
• Ensure all areas triggered on the resident assessment protocol summary are included in the resident's plan of care.
• Assess and determine the health status and level of care of all new admissions.
• Ensure the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change.
• Communicate the level of care for new residents to all disciplines.
• Coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames.

Supervisory Requirements

This position does not have any supervisory requirements.

Qualification Education and/or Experience

• A Bachelor's Degree in Nursing (BSN) or an equivalent Accredited Nursing Program Degree.
• MDS corification is proforred.
• Experience in clinical and management roles, preferably in a regional or corporate setting.
• Knowledge of CMS/OIG surveys and regulations.
• Strong analytical and reporting skills.
• Excellent communication and interpersonal skills.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

Mathematical Skills

Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form..

Certificates, Licenses, Registrations

To preform this job successfully, an individual must be proficient in the Microsoft Suite products.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The employee must occasionally lift and/or move up to 25 pounds.
• Prolonged use of a desktop or laptop. computer.
• While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear.
• Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator.

Work Environment

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Pay Range

$120,000 - $130,000

Equal Opportunity Employer

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

PACS

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.