MDS Coordinator LVN or RN -The Madison on Marsh (17056)

Cantex; Carrollton (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

Join a forward-thinking healthcare provider as an MDS Coordinator, where your expertise will ensure optimal reimbursement for Medicare and Medicaid patients. This role involves managing quality patient care in compliance with federal and state standards, participating in interdisciplinary meetings, and auditing clinical records. You will play a crucial role in maintaining patient safety and supporting financial management systems. Enjoy a competitive compensation package and a comprehensive benefits program, including medical, dental, and retirement plans, while making a meaningful impact in the lives of patients.

Benefits

401K with match

CEU reimbursement

Vacation

Sick leave

Holidays

Medical insurance

Dental insurance

Supplemental insurance plans

Qualifications

• Current Texas nursing license required.
• 2+ years of long-term care experience preferred.
• AANAC RAI Certification required within 1 year.

Responsibilities

• Ensure compliance with Medicaid and Medicare regulations.
• Coordinate reimbursement meetings with the interdisciplinary team.
• Audit clinical records and train staff on documentation.

Skills

Effective Communication

Task Delegation

Report Writing

Patient Assessment

Regulatory Compliance

Education

Texas Nursing License (RN, LVN)

Acknowledgement of Completion Certificate (HHSC RUG)

AANAC RAI Certification

Job description

Job Details

Job Location: Skilled Nursing at The Madison on Marsh - Carrollton, TX

Position Type: Full Time

Salary Range: Undisclosed

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

• 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 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, patients, family members, physicians, and the public.

Essential Functions:

• Maintain compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and interpretations.
• Participate in the assessment of pre-admission paperwork to ensure Patient meets medical necessity requirements.
• Attend daily standup meetings.
• Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure proper Medicare and/or Medicaid reimbursement aligned with care delivery.
• Audit Clinical Records to ensure proper documentation of care; educate and train staff on documentation guidelines.
• Obtain Medicare qualifying diagnoses for Medicare Part A Patients and update as diagnoses change.
• Initiate and update physician certifications for Medicare Part A Patients.
• Complete all Minimum Data Set (MDS) assessments within required timeframes for Medicare and Medicaid Patients.
• Review 24-hour Nursing reports for changes in patient condition.
• Prepare for Medicaid audits.
• Track Patient benefit days, validate daily census, and coordinate with the Financial Manager for accurate billing.
• Achieve or exceed budgeted rates.
• Review Cantex Continuing Care Network policies on Abuse Prevention and ensure staff enforcement.
• Support Patient Care Management Systems and Financial Management Systems.
• Ensure patient/resident safety.
• Perform other duties as assigned.

#HP

We are an Equal opportunity employer; we offer an excellent benefits package including 401K with match, CEU reimbursement, vacation, sick leave, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.