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, as 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 communicate effectively, 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 present information effectively 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 assessing pre-admission paperwork to ensure patient meets medical necessity criteria.
- Attend daily standup meetings.
- Coordinate weekly reimbursement meetings with the interdisciplinary team to ensure proper reimbursement matching care delivery.
- Audit clinical records for appropriate documentation; educate staff on documentation guidelines.
- Obtain and update Medicare qualifying diagnoses for Part A patients.
- Initiate and update physician certifications for Medicare Part A patients.
- Complete all MDS assessments within the required time frames.
- Review 24-hour nursing reports for changes in patient condition.
- Prepare for Medicaid audits.
- Track patient benefit days, validate census, and coordinate with the financial team for billing accuracy.
- Achieve or exceed budgeted rates.
- Review Cantex Continuing Care Network policies on Abuse Prevention and enforce employee responsibilities.
- Support Patient Care Management Systems and Financial Management Systems.
- Ensure patient/resident safety.
- Perform other duties as assigned.
We are an Equal Opportunity Employer. We offer a comprehensive benefits package including 401K with match, CEU reimbursement, vacation, sick leave, holidays, medical, dental, and supplemental insurance plans, along with a highly competitive salary.