MDS COORDINATOR - LVN- Magnolia Manor (17602)

Cantexcc; Town of Texas (WI); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare provider seeks an MDS Coordinator to manage Medicare compliance and patient assessment in a nursing environment. The role involves administering the RAI process and collaborating with interdisciplinary teams to ensure quality care delivery. Competitive benefits and a supportive work culture enhance this opportunity.

Benefits

401K with match

CEU reimbursement

Vacation and sick leave

Medical and dental insurance

Supplemental insurance plans

Qualifications

• At least 2 years of experience in Long Term Care preferred.
• Acknowledgement of completion through HHSC RUG Online Training.

Responsibilities

• Oversee compliance with Medicare rules and patient assessment.
• Coordinate weekly reimbursement meetings with interdisciplinary team.
• Audit clinical records for documentation accuracy.

Skills

Communication

Analysis

Patient Care Management

Education

Current Texas nursing license (RN, LVN)

AANAC RAI Certification

Job description

Job Details

Job Location: Skilled Nursing at Magnolia Manor - Groves, TX

Position Type: Full Time

Salary Range: Undisclosed

Job Shift: Day

Job Category: Nursing

Description

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Please visit cantexcc.com for more information on this location.

Job Summary:

The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.

Qualifications

Qualifications:

• A current, valid Texas nursing license is required (RN, LVN)
• At least 2 years of LTC experience preferred.
• Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
• Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
• Ability to effectively communicate, direct, and at times, delegate tasks.
• Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.
• Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the public.

Essential Functions:

• Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
• Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination.
• Attends standup meetings every weekday morning.
• Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
• Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
• Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
• Initiates and updates the physician certifications for each Medicare Part A Patient.
• Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
• Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.
• Prepares for all Medicaid audits.
• Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
• Achieves at least budgeted rates expectation.
• Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees responsibility to enforce it.
• Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.
• Responsible for assuring patient/resident safety.
• Performs other duties and/or tasks as assigned.

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.