MDS Coordinator LNAC

Foley Nursing & Rehab Center; Foley (AL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical coverage

401k plan

Tuition reimbursement

Paid time off

Disability insurance

Life insurance

Referral bonuses

Emergency fund (DiversICARE)

OnShift Wallet

Job summary

Diversicare in Foley, AL is seeking an experienced nurse to coordinate the RAI/MDS process within our long-term care center. Under RN or DNS supervision, you will collaborate with the interdisciplinary team to identify resident needs, schedule assessments, and ensure regulatory compliance.

This role requires an active nursing license, LTC experience, strong computer skills, and knowledge of Medicare/Medicaid requirements.

Qualifications

• Must hold current nursing license in the state of employment.
• Experience in Long Term Care.
• Knowledge of Medicare, Managed care and RAI Process Required.
• Participating in the LPN to RN Back to School transition program.
• Strong computer skills

Responsibilities

• Facilitate the RAI process under the direction of an RN or DNS.
• Collaborate with interdisciplinary team to identify patient/resident needs.
• Coordinate daily Case Management meetings and timelines.
• Ensure timely MDS assessments per state and federal regulations.
• Ensure accurate coding of the MDS assessment from chart reviews and interviews.
• Maintain MDS scheduling tracking and due dates.
• Facilitate Care Plan conferences with the team, patients and families.
• Coordinate submission of required documentation to data bases per guidelines.
• Ensure Medicare/Medicaid regulatory guidelines are met timely.
• Assist in billing reviews to support MDS-related documentation.
• Participate in QA and process improvement activities.
• Update knowledge on Medicare, Managed Care, Medicaid, RAI process and tech.

Skills

Computer skills

Job description

Overview

Smile, You’ve Found Us!

Are you passionate about caregiving? Would you like to work with the best team in the world? If so, Diversicare invites you to apply.

We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve.

Full Time Benefits include:

• Medical/Dental/Vision
• Excellent 401k plan
• Tuition Reimbursement
• Vacation, Holiday, and Sick Time
• Long and Short Term Disability
• Employee Assistance Program
• Life Insurance
• Referral Bonuses
• DiversICARE - employee hardship fund
• Pay advancement program - OnShift Wallet

Diversicare provides post-acute care services to patients and residents at 44 skilled nursing and long-term care centers in five states, primarily in the Southeast, Midwest and Southwest United States. Together, with our team of dedicated healthcare professionals, we leverage our diverse strengths to provide each patient and resident with healthcare serves that best meet their needs.

It is Diversicare’s Mission to “Improve every life we touch by providing exceptional healthcare and exceeding expectations.”

We are guided to excellence by five Core Values: Integrity, Excellence, Compassion, Teamwork and Stewardship, as well as 12 Service Standards.

We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence. Our Service Standards are in place to offer support. They lead us to what matters most to our company: creating a warm, caring, safe and professional environment for our customers and each other.

Our culture of impassioned service delivery is the Diversicare Difference.

#ND123

Responsibilities

1. 1. Facilitates the RAI Process under the direction of an R.N. or DNS
2. 2. Work in Collaboration with the interdisciplinary team to identify the needs of the patient/resident.
3. 3. Coordinates and conducts the daily Case Management meeting.
4. 4. Ensures timely MDS assessments according to state and federal regulations.
5. 5. Ensures interdisciplinary team completes designated sections of the MDS assessment.
6. 6. Ensures and completes accurate coding of the MDS assessment with information obtained via medical record review, observation and interview with center staff, patients, residents and family members.
7. 7. Ensures documentation is available to support accurate coding of the MDS assessment.
8. 8. Maintains the tracking system of MDS assessment schedules (timeframes and due dates).
9. 9. Facilitates Care Plan conferences with the interdisciplinary team, patient, residents and families.
10. 10. Obtain, review and maintain all State and Federal reports, making appropriate correctionstimely.
11. 11. Monitors Quality Measures and ensures that MDSs are accurate to support and reflect theQuality Measures.
12. 12. Provides education related to the RAI Process
13. 13. Coordinates and completes electronic submission of required documentation to the Statedata base and other entities per company guidelines and State and Federal regulations.
14. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely(i.e.: certifications, denial letters, skilled documentation, coverage criteria, etc…)
15. 15. Provides Managed Care case management at the center level.
16. 16. Reviews Additional Documentation Requests (ADRs) with Health InformationManagement Coordinator (HIMC) to ensure all documents are available and meet therequest.
17. 17. Participates in billing reviews (Triple Check) to ensure claims have supporting MDSassessments documents.
18. 18. Participates in Quality Assurance and Process Improvement Activities.
19. 19. Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAIProcess and computer technology updates.
20. 20. May be required to fulfill the job functions of a direct care nurse as determined by the needs ofthe patients/residents and center

Qualifications

1. 1. Must hold current nursing license in the state of employment.
2. 2. Experience in Long Term Care.
3. 3. Computer skills.
4. 4. Knowledge of Medicare, Managed care and RAI Process Required.
5. 5. Participating in the LPN to RN Back to School transition program.

Diversicare is committed to being an equal opportunity employer. Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.

(EOE)