MDS Coordinator Jobs

IntelyCare; Quincy (MA); On-site; USD 75,768 - 82,656; Full time

Benefits offered by this job

Excellent health benefits

401K plan contributions

Tuition Reimbursement

Job summary

Mass Digital Health is looking for an MDS Coordinator in Quincy, Massachusetts. The successful candidate will oversee the MDS assessment process and ensure maximum reimbursement through effective care planning. Responsibilities include compliance monitoring and coordination with an interdisciplinary team.

Candidates must possess a current CA RN or LVN license along with a minimum of three years' clinical experience in long-term care, ideally with RNAC experience. This role offers a supportive environment focused on team-based performance and continuous quality improvement.

Qualifications

• Current CA RN license or LVN license is required.
• At least 3 years of clinical experience, with management experience preferred.
• Prior RNAC experience is necessary.

Responsibilities

• Coordinate MDS assessments and ensure regulatory compliance.
• Lead meetings with therapy and unit coordinators.
• Provide educational training to staff.

Skills

Knowledge of nursing theory, methods, and techniques

Knowledge of Medicare principles

Ability to communicate in English

Computer skills, proficiency in Microsoft Office

Ability to cope with stress

Education

Current CA RN or LVN license

3 years clinical experience in long-term care

Tools

Microsoft Office

Job description

Pay Range

$55.00 - $60.00/hour

Job Culture

The Masonic Homes of California are committed to a culture of Leadership. Our culture is to provide superior service to members, residents and staff through a sound and progressive model of service and care which aligns our mission, vision and operations. We demonstrate excellence in core services and place value on high quality job performance, professional development, effective time management, budget management, workplace safety and resident/employee satisfaction. We are dedicated to disciplined innovation and continuous quality improvement – we are a learning company. We are committed to sharing our knowledge and being an organization that attracts the best and brightest talent. We are team-oriented, caring and honest.

Job Summary

The Minimum Data Set (MDS) Coordinator is responsible for the MDS assessment process completion, care planning process, and scheduling of MDS assessments. The MDS Coordinator assures maximum reimbursement by: determining payment coverage of each resident from admission to discharge; and by strategically setting Assessment Reference Dates (ARD’s) for the MDS in collaboration with therapy services within the Omnibus Budget Reconciliation Act (OBRA) requirements. This position is responsible for determining Resource Utilization Group (RUG) levels and assisting with admission assessment processes. This position requires on-going education related to rules and regulations regarding MDS process and reimbursement.

Job Responsibilities

Administrative functions May be involved in the pre-admission assessment in collaboration with the DON, Admissions Coordinator and HIM to determine coverage level for Skilled Nursing Facility (SNF) stay. Meets routinely and as indicated with the business office regarding billing requirements. Leads PPS meeting with therapy and unit coordinators to ensure goals are accomplished, review resident's progress, determine reimbursement days used, days left to be used, and overall plan of care. Coordinates with interdisciplinary team (IDT) dates of discontinuation of qualified Medicare coverage benefits for stay and date of termination notification issued to resident and/or responsible party. Tracks to ensure necessary certifications/re-certifications are completed and obtained in a timely manner. Monitors regulatory compliance for completion of MDS/Resident Assessment Instrument (RAI) process. Attends morning IDT meeting, care plan, and discharge meetings as indicated.

Resident Assessment Instrument (RAI) process MDS submission/transmission Quality assurance Other functions Supports Nursing staff in their absence. Attends ongoing educational programs relative to Medicare, Prospective Payment System (PPS), MDS/RAI process, reimbursement changes, and Centers for Medicare and Medicaid Services (CMS) regulatory revisions. Provides educational training relating to Medicare, PPS, and MDS/RAI process to staff as requested. Provide direct nursing care as necessary.

Skills, Abilities and Experience

Knowledgeable of the theory, methods, and techniques of nursing. Knowledge of Medicare and Medical reimbursement principles and methods of implementation. Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions. Ability to maintain composure and cope with stress and frustration. Knowledge in computer skills with competency in computer applications. Ability to use office equipment and programs including but not limited to: email, telephone, computer, photocopier, printer, fax and Microsoft Office programs. Ability to communicate clearly in oral and written English. Ability to maintain regular, consistent and reliable attendance. Knowledge of State and Federal laws and regulations governing Long Term Care.

Requirements

• Current CA RN license or LVN license
• At least 3 years of clinical experience in long-term care nursing with 1 year in a management/administrative or supervisory role preferred
• Prior RNAC experience required
• Experience in Minimum Data Set/Resident Assessment Instrument/Prospective Payment System in a Skilled Nursing Facility
• Resident Assessment Instrument certification preferred; must be certified within six months of the date of hire
• Experience with and knowledge of Medicare rules, regulations and documentation requirements
• Computer and typing proficiency
• Experience with clinical assessment

Benefits

In return for your skills and passion, we offer:

• A work environment focused on teamwork and support for excellent care
• Excellent health, wage replacement and other benefits for you and your family’s well-being
• A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan
• Investment in your growth through Tuition Reimbursement