MDS Coordinator

Topaz Fiscal Services LLC; Mayo (FL); On-site; USD 65,000 - 85,000; Full time

Job summary

Topaz Fiscal Services LLC is seeking an MDS Coordinator to administer patient assessments and oversee the assessment process, setting schedules and ensuring accurate, timely completion. You will coordinate care plans per regulatory requirements and ensure resources are available to deliver high-quality care.

The role involves leading Medicare/Medicaid assessment start-ups, staying updated on coverage changes, and supporting reimbursement documentation.

Qualifications

• Proficiency in MDS 3.0.
• Knowledge of state and federal regulations.
• Active RN or LPN license in the state.

Responsibilities

• Oversees accurate and timely completion of the MDS, CAAs and Care Plans per regulations.
• Acts as in-house Case Manager, communicating with residents, families, and payers.
• Identifies regulatory risks to optimize MDS resources and resident care.
• Demonstrates understanding of MDS requirements for Medicare, Medicaid, and Managed Care.
• Ensures timely electronic submission of all MDS data to state databases.
• Facilitates care management to resolve discharge barriers and achieve optimal outcomes.
• Educates IDT members on RAI processes and analyzes QI/QM data with IDT.

Skills

MDS 3.0 proficiency

Regulatory knowledge

Education

RN or LPN license

Job description

OVERVIEW

MDS COORDINATOR- Exempt (Salary) Position
Reports to Administrator

OVERVIEW: MDS Coordinator administers patient assessments and oversees the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner. The MDS Coordinator coordinates the care plan according to regulatory requirements. Ensures that resources are made available to patients and patient care is delivered effectively and to a satisfactory standard. Creates the schedule for all Medicare and Medicaid. Start Medicare coverage for newly qualified patients and remain updated on changes in Medicare coverage and help determine documents needed for reimbursement.

RESPONSIBILITIES

Oversees accurate and through completion of the MDS, Care Area Assessments (CAA) and Care Plans in accordance with federal and state regulations and guidelines that govern the process.

Acts as an in-house Case Manager demonstrating detailed knowledge of residents' health status, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals and third- party payers.

Proactively communicates with Administrator and Director of Nursing to identify regulatory risk that allow capture of resources provided on the MDS, and clinical trends that impact resident care.

Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Medicaid, and Managed Care.

Ensures timely electronic submission of all MDS to the state database. Reviews state validation reports and ensures that the appropriate follow up action is taken.

Facilities the Care Management Process engaging the resident, IDT, and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting.

Directly educates or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process.

Analyzes QI/QM data in conjunction with the IDT members to identify trends.

QUALIFICATIONS

Proficiency in MDS 3.0.

Demonstrating knowledge of state and federal regulations.

Registered Nurse or LPN with current, active license in the state.

Minimum Two Years Of Clinical Experience In LTC Setting.

PHYSICAL REQUIREMENTS

This position is very active and requires standing for long periods of time, walking throughout facility, bending, kneeling, stooping all day. The employee must frequently lift or move objects weighing over 20 pounds.