MDS Coordinator

OPCO Skilled Management; Denton (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

OPCO Skilled Management is seeking a skilled MDS Coordinator to assist the Director of Nursing and RN Assessment Coordinator in ensuring documentation meets Federal, State and Certification guidelines. The role centers on coordinating the RAI process to ensure timely MDS, CAAs, and interdisciplinary care plan completion.

The ideal candidate will have RN or LVN licensure in Texas, with at least two years in a Skilled Nursing Facility, deep knowledge of Case-Mix, Medicare PPS, and Medicaid

Qualifications

• Graduate of an approved RN or LVN program and licensed in the state of practice.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility.
• Knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement; OBRA regulations and MDS process.

Responsibilities

• Assists in ensuring documentation meets Federal, State regulations and certification.
• Coordinates the RAI process from MDS through care plan completion.
• Monitors and follows up on RAI process tracking and Medicaid forms in the PointClickCare system.
• Reports trends from audits to the Quality Assurance Committee.
• Ensures timely submission of MDSs to the State with validation record maintenance.
• Follows up with staff to assure compliance to documentation standards.
• Completes patient assessments and data collection per the MDS User’s Manual.
• Determines the Assessment Reference Date reflecting care needs and resources for Medicare/Medicaid payments.

Skills

Regulatory compliance

Detail orientation

Education

RN or LVN license in Texas

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.