MDS Coordinator

Outfield Healthcare Partners; Lee's Summit (MO); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

Outfield Healthcare Partners seeks a qualified MDS Coordinator in Missouri to manage timely and accurate completion of the RAI and care management process from admission to discharge, in alignment with policy and federal/state guidelines.

You will lead interdisciplinary team efforts, monitor MDS coding, maintain records, and ensure regulatory compliance while coordinating schedules and educating staff on the MDS process.

Qualifications

• Graduate of an approved RN program and licensed in the state of practice.
• Minimum of 2 years nursing experience in a Skilled Nursing Facility preferred.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement.
• Thorough understanding of the Quality Indicator process. Knowledge of OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.
• Experience with MDS 3.0, preferred.

Responsibilities

• Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments and care plan reviews as required by governing agencies.
• Decide with the Interdisciplinary team whether to complete additional MDS assessments based on clinical criteria per the RAI User’s Manual.
• Coordinate daily stand-up meetings including review of resident care and assessment reference dates.
• Comply with federal and state regulations regarding completion and coordination of the RAI process.
• Monitor MDS and care plan documentation in the medical record to support MDS coding.
• Maintain current MDS status of assigned residents per state and federal guidelines.
• Maintain frequent and accurate data entry of resident information into MDS programs.
• Complete accurate coding of MDS with data from records, observations, and interviews.
• Attend interdisciplinary meetings to gather information and update records.
• Assist DON with identification of significant changes, physician orders, and verbal reports to reflect changes in MDS and care plans.
• Prepare scheduling and notices of care planning conferences; communicate outcomes to staff and residents.
• Continually update knowledge base related to data entry and computer technology.
• Submit electronic documentation to state databases and other entities per policy.
• Correct and finalize MDS and submit data to state/federal agencies.
• Assign, instruct staff in the RAI Process, PPS Medicare, Medicaid, and clinical systems.
• Maintain confidentiality of necessary information.
• Other duties as assigned.

Skills

Case-Mix knowledge

Medicare PPS knowledge

Medicaid reimbursement knowledge

OBRA regulations knowledge

Minimum Data Set (MDS)

Care planning process knowledge

MDS 3.0 experience

Education

Nursing degree

RN license

Job description

Your Job Summary

The MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.

Principal Responsibilities

• Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies.
• Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual.
• Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s).
• Complies with federal and state regulations regarding completion and coordination of the RAI process.
• Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding.
• Maintains current MDS status of assigned residents according to state and federal guidelines.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
• Attends interdisciplinary team meeting, quality assurance and other meeting in order to gather information, communicate changes, and maintain and update records.
• Assists DON or designee with identification of a significant change, physician orders and verbal reports to assure that the MDS and care plan are reflective of those changes.
• Prepares scheduling, notice of resident care planning conferences, and assists DON in communication of outcomes/problems to the responsible staff, resident, and/or responsible party.
• Continually updating knowledge base related to data entry and computer technology.
• Completes electronic submission of required documentation to the state database and other entities per company policy.
• Corrects and ensures completion of final MDS and submits resident assessment data to the appropriate State and Federal government agencies.
• Assigns, assists, and instructs staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes.
• Maintains confidentiality of necessary information.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Qualifications

• Graduate of an approved Registered 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.
• Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.
• Experience with MDS 3.0, preferred.

Job Type: Full-Time

Benefits Offered

• Healthcare
• Dental
• Vision
• PTO
• 401K

Outfield Healthcare Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.