MDS Coordinator

Outfield Healthcare Partners; Lincoln (NE); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

Outfield Healthcare Partners is seeking an MDS Coordinator to ensure timely and accurate completion of the RAI and care management process from admission through discharge, in accordance with company policy and Federal, State, and Certification guidelines.

Under direction of the Director of Nursing and VP of Clinical Reimbursement, you will coordinate information systems operations, educate the clinical team, and maintain documentation integrity while ensuring confidentiality and regulatory

Qualifications

• Graduate of an approved Registered Nurse program and licensed in the state of practice.
• Knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement.
• Thorough understanding of the Quality Indicator process and OBRA regulations.
• Knowledge of the care planning process.
• Experience with MDS 3.0 is preferred.

Responsibilities

• Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments and care plan reviews.
• Decide if additional MDS assessments are needed based on clinical criteria.
• Coordinate daily stand-up meetings to review resident care and assessment reference dates.
• Comply with federal and state regulations for MDS processes.
• Monitor MDS and care plan documentation in medical records to support coding.
• Maintain current MDS status per guidelines and ensure accurate data entry.
• Code MDS accurately using information from medical records, observation, and interviews.
• Attend interdisciplinary team meetings to communicate changes and update records.
• Assist DON with significant changes, physician orders, and changes reflected in MDS and care plans.

Skills

RN license

Care planning

MDS 3.0 knowledge

OBRA regulations

Medicare PPS

Medicaid reimbursement

Case-Mix knowledge

Data confidentiality

Education

Registered Nurse program graduate

Tools

MDS software

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.