MDS Coordinator

OPCO Skilled Management; Rio Rancho (NM); On-site; USD 70,000 - 90,000; Full time

Job summary

OPCO Skilled Management in Rio Rancho, NM is seeking an MDS Coordinator to support the Director of Nursing and RN Assessment Coordinator by ensuring that documentation meets Federal, State, and Certification guidelines and that the RAI process is timely and complete.

The role requires a RN or LVN license in NM, at least 2 years of nursing experience in a Skilled Nursing Facility, and strong knowledge of Case-Mix, Medicare PPS, Medicaid reimbursement, OBRA and the MDS process to support accurate

Qualifications

• Must hold an active RN or LVN license in NM.
• Minimum of 2 years in nursing within a Skilled Nursing Facility.
• Strong knowledge of Case-Mix, Medicare PPS, Medicaid reimbursement, OBRA and MDS.

Responsibilities

• Assists the Director of Nursing and RN Assessment Coordinator with ensuring documentation meets Federal, State and Certification guidelines.
• Coordinates the RAI process to assure timeliness and completeness of MDS, CAAs, and Interdisciplinary Care Plan.
• Participates in regulatory or certification survey process and helps correct deficiencies.
• Reports trends from audits to the Quality Assurance Committee.
• Monitors RAI process tracking, discharge/reentry and Medicaid tracking forms in PointClickCare.
• Ensures accurate determination of Assessment Reference Date reflecting patient care needs for Medicare/Medicaid payments.
• Submits MDSs to the State timely and maintains validation records of submissions.

Skills

Case-Mix Knowledge

Medicare PPS

Medicaid Reimbursement

MDS Process

Care Planning

OBRA Regulations

Education

RN or LPN/LVN license valid in NM

Job description

Objective

The MDS Coordinator assists the Director of Nursing and the RN Assessment Coordinator with ensuring that documentation in the center meets Federal, State, and Certification guidelines. The MDS Coordinator coordinates the RAI process assuring the timeliness, and completeness of the MDS, CAAs, and Interdisciplinary Care Plan.

Principal Responsibilities

• Assists the center in assuring adherence to Federal and State regulations and certification.
• Actively participates in the regulatory or certification survey process and the correction of deficiencies
• Reports trends from completed audits to the Quality Assurance Committee
• Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system.
• Follows up with staff when necessary to assure compliance to standards of documentation.
• Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual.
• Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
• Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion.

Qualifications

• Graduate of an approved Registered Nurse / License Vocational 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. Through understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set. Knowledge of the care planning process.