MDS Coordinator

SNF Staffing Solutions; Mineola (TX); On-site; USD 55,000 - 80,000; Full time

Job summary

SNF Staffing Solutions in Texas is seeking an MDS Coordinator to oversee timely completion of the RAI and care management process from admission to discharge, in line with policy and federal/state guidelines. The role will require coordinating with the interdisciplinary team to maintain accurate data and compliance.

Under the direction of the Director of Nursing, you will facilitate MDS coding, care planning, and educational initiatives, ensuring documentation supports coding accuracy and

Qualifications

• RN license in the state of practice is required.
• Minimum of 2 years nursing experience in a Skilled Nursing Facility.
• Strong knowledge of Case-Mix, PPS, and Medicaid reimbursement.
• Thorough understanding of Quality Indicator process and OBRA regulations.
• Experience with MDS 3.0 is preferred.

Responsibilities

• Collaborate with Interdisciplinary Team to assess resident needs and schedule MDS assessments and care plan reviews as required by governing agencies.
• Decide on completing additional MDS assessments based on clinical criteria per the latest MDS User’s Manual.
• Coordinate daily stand-up meetings and review resident care and assessment reference dates.
• Ensure compliance with federal and state regulations regarding MDS processes.
• Monitor MDS and care plan documentation and ensure accurate coding in medical records.
• Maintain current MDS status of residents per guidelines and ensure data entry into MDS programs.
• Complete final MDS coding from chart review and interviews and submit to the appropriate authorities.
• Provide training and guidance on RAI processes, PPS, Medicare/Medicaid requirements, and clinical systems.

Skills

Case-Mix knowledge

Medicare PPS process

Medicaid reimbursement

Care planning

MDS 3.0

OBRA regulations

Education

Registered Nurse license (RN)

Job description

SNF Staffing Solutions -

Full-Time

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.