MDS Coordinator

Outfield Healthcare Partners; Dallas (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated MDS Coordinator to oversee the RAI process and ensure compliance with federal and state regulations. This role involves collaboration with interdisciplinary teams to assess resident needs, manage MDS assessments, and maintain accurate documentation. The ideal candidate will have a strong nursing background, preferably with experience in skilled nursing facilities, and possess knowledge of Medicare and Medicaid reimbursement processes. Join a forward-thinking organization committed to quality care and continuous improvement, where your expertise will make a meaningful impact on residents' lives.

Qualifications

• Graduate of an approved Registered Nurse program and licensed in the state of practice.
• At least 2 years of nursing experience in a Skilled Nursing Facility preferred.

Responsibilities

• Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments.
• Ensure compliance with federal and state regulations concerning the RAI process.

Skills

Nursing Experience

MDS 3.0

Medicare PPS

Medicaid Reimbursement

Interdisciplinary Collaboration

Education

Registered Nurse Program Graduate

Tools

Computerized MDS Programs

Job description

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Your Job Summary

The MDS Coordinator will be responsible for the timely and accurate completion of both the RAI process and care management process from admission to discharge, in accordance with company policies, procedures, and applicable Federal, State, and Certification guidelines. This includes tasks such as Minimum Data Set, discharge and admission tracking, etc. Under the guidance of the Director of Nursing and VP of Clinical Reimbursement, the Coordinator may also oversee information systems operations and staff education within the clinical department.

Responsibilities

1. Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments and care plan reviews as required by governing agencies.
2. Decide whether to complete additional MDS assessments based on clinical criteria outlined in the latest RAI User’s Manual.
3. Assist with coordination and management of daily stand-up meetings, including review of resident care and setting assessment reference dates.
4. Ensure compliance with federal and state regulations concerning the RAI process.
5. Monitor MDS and care plan documentation for all residents, ensuring support in medical records for MDS coding.
6. Maintain current MDS status for assigned residents according to guidelines.
7. Accurately enter resident data into computerized MDS programs regularly.
8. Code MDS accurately using information from medical records, observations, and interviews with staff, residents, and families.
9. Participate in interdisciplinary meetings, quality assurance, and other relevant meetings to gather and communicate information, and keep records updated.
10. Assist with identifying significant changes, physician orders, and verbal reports to ensure MDS and care plans reflect current conditions.
11. Prepare schedules and notices for care planning conferences and communicate outcomes or issues to relevant staff, residents, and families.
12. Continuously update knowledge related to data entry and computer technology.
13. Submit electronic documentation to the state database and other entities as per policy.
14. Ensure the final MDS is complete and submit assessment data to appropriate government agencies.
15. Train and assist staff with RAI processes, PPS Medicare, Medicaid, and related computer systems.
16. Maintain confidentiality of sensitive information.
17. Perform other duties as assigned, which may change or be added without notice.

Qualifications

• Graduate of an approved Registered Nurse program and licensed in the state of practice.
• At least 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Strong knowledge of Case-Mix, Medicare PPS, and Medicaid reimbursement processes.
• Thorough understanding of Quality Indicator processes, OBRA regulations, and MDS 3.0 experience is preferred.
• Experience with care planning and interdisciplinary collaboration.

Outfield Healthcare Partners is an equal opportunity employer, committed to diversity and inclusion. We prohibit discrimination based on race, color, religion, age, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other protected characteristic.