MDS Coordinator

OPCO Skilled Management; Mineola (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

OPCO Skilled Management in Mineola, TX seeks an experienced MDS Coordinator to manage RAI and care planning from admission to discharge, under Nursing leadership and VP Clinical Reimbursement. This RN role ensures compliance with federal/state guidelines and maintains accurate MDS coding.

The role requires coordinating the daily stand-up for resident care, setting assessment reference dates, and ensuring all MDS documentation is accurate in the medical record to support proper coding.

Qualifications

• Graduate of an approved Registered Nurse program and licensed in the state of practice.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility.
• 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.

Responsibilities

• Collaborate with Interdisciplinary Team to assess resident needs and schedule MDS assessments and care plan reviews.
• Decide on completing or not completing additional MDS based on clinical criteria per the RAI User’s Manual.
• Coordinate daily stand-up meetings reviewing resident care and assessment reference dates.
• Ensure compliance with federal and state regulations governing the RAI process.
• Monitor MDS and care plan documentation in the medical records and ensure accuracy for coding.
• Maintain current MDS status per state and federal guidelines.
• Maintain data entry into appropriate computerized MDS programs.
• Code the MDS accurately from medical records and staff/family input.
• Attend interdisciplinary team meetings to gather information and update records.
• Assist DON with identification of significant changes and communication of outcomes.
• Prepare scheduling and notices for care planning conferences and communicate outcomes.
• Update knowledge base related to data entry and computer technology.
• Submit electronic documentation to state databases per policy.
• Ensure final MDS completion and submission to authorities.
• Assign and train staff in the RAI Process, PPS Medicare, Medicaid and clinical systems.
• Maintain confidentiality of information.
• Other duties may be assigned.

Skills

Interdisciplinary coordination

MDS knowledge

Education

RN license

Job description

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.