MDS Coordinator LNAC

Diversicare; Foley (AL); On-site; USD 60,000 - 80,000; Full time

Job summary

Diversicare seeks a dedicated MDS Coordinator to manage MDS processes and regulatory compliance in a post-acute setting. You’ll work under RN guidance with an interdisciplinary team to ensure accurate coding and timely submissions for Medicare/Medicaid populations.

You will coordinate care plans, monitor quality measures, and provide education on the RAI process while staying current with regulatory guidelines and data submission requirements.

Qualifications

• Current nursing license in the state of employment.
• Experience in Long Term Care.
• Knowledge of Medicare, Managed Care, and the RAI process.
• Participation in LPN to RN Back to School transition program.

Responsibilities

• Facilitates the RAI Process under the direction of an RN or DNS2.
• Collaborates with the interdisciplinary team to identify the needs of the patient/resident.
• Coordinates and conducts the daily Case Management meeting.
• Ensures timely MDS assessments according to state and federal regulations.
• Ensures interdisciplinary team completes designated sections of the MDS assessment.
• Ensures accurate coding of the MDS assessment from medical records, observations, and interviews.
• Maintains tracking of MDS assessment schedules.
• Facilitates Care Plan conferences with the team, patient, residents and families.
• Obtains and reviews State and Federal reports, making timely corrections.
• Monitors Quality Measures and ensures MDS accuracy to support measures.
• Provides education related to the RAI Process.
• Coordinates electronic submission of required documentation per guidelines and regulations.
• Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely.
• Provides Managed Care case management at the center level.
• Reviews Additional Documentation Requests with HIMC to ensure documents are available.
• Participates in billing reviews to support claims with MDS documentation.
• Participates in Quality Assurance and Process Improvement.
• Keeps knowledge base updated on Medicare, Managed Care, Medicaid, RAI Process, and tech updates.
• May fulfill direct care nurse duties as needed.

Skills

Computer skills

Medicare knowledge

RAI process knowledge

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.

If you wish to make a difference in the lives of our patients and residents,

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. Facilitates the RAI Process under the direction of an R.N. or DNS2.
• Work in Collaboration with the interdisciplinary team to identify the needs of the patient/resident.
• Coordinates and conducts the daily Case Management meeting.
• Ensures timely MDS assessments according to state and federal regulations.
• Ensures interdisciplinary team completes designated sections of the MDS assessment.
• 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.
• Ensures documentation is available to support accurate coding of the MDS assessment.
• Maintains the tracking system of MDS assessment schedules (timeframes and due dates).
• Facilitates Care Plan conferences with the interdisciplinary team, patient, residents and families.
• Obtain, review and maintain all State and Federal reports, making appropriate correctionstimely.
• Monitors Quality Measures and ensures that MDSs are accurate to support and reflect theQuality Measures.
• Provides education related to the RAI Process
• Coordinates and completes electronic submission of required documentation to the Statedata base and other entities per company guidelines and State and Federal regulations.
• Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely(i.e.: certifications, denial letters, skilled documentation, coverage criteria, etc…)
• Provides Managed Care case management at the center level.
• Reviews Additional Documentation Requests (ADRs) with Health InformationManagement Coordinator (HIMC) to ensure all documents are available and meet therequest.
• Participates in billing reviews (Triple Check) to ensure claims have supporting MDSassessments documents.
• Participates in Quality Assurance and Process Improvement Activities.
• Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAIProcess and computer technology updates.
• 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. Must hold current nursing license in the state of employment.
• Experience in Long Term Care.
• Computer skills.
• Knowledge of Medicare, Managed care and RAI Process Required.
• 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)