MDS Coordinator - LVN- The Manor at Seagoville (17374)

Cantexcc; Seagoville (TX); On-site; USD 70,000 - 85,000; Full time

Job summary

A leading healthcare provider is seeking an MDS Coordinator to ensure appropriate reimbursement for Medicare and Medicaid patients. The role involves managing quality patient care, compliance with regulations, and effective communication with interdisciplinary teams. The ideal candidate will possess a Texas nursing license and have prior LTC experience. We offer a competitive compensation package and excellent benefits.

Benefits

401K with match

CEU reimbursement

Vacation

Sick leave

Holidays

Medical insurance

Dental insurance

Supplemental insurance plans

Qualifications

• At least 2 years of LTC experience preferred.
• Must complete the AANAC RAI Certification within 1 year.

Responsibilities

• Maintain compliance with Medicaid and Medicare rules.
• Coordinate Weekly Reimbursement Meeting with the team.
• Complete all MDS assessments within the allotted time.

Skills

Communication

Delegation

Analysis

Education

Texas nursing license

RAI Certification

Job description

Job Details

Job Location: Skilled Nursing at The Manor at Seagoville - Seagoville, 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

• 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 published interpretations.
• Participate in the assessment of pre-admission paperwork to ensure patient meets qualifying medical necessity determination.
• Attend standup meetings every weekday morning.
• Coordinate 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. Educate and train staff on documentation guidelines.
• Obtain Medicare qualifying diagnosis(es) on Medicare Part A Patients and update diagnosis for each change in diagnosis.
• Initiate and update the physician certifications for each Medicare Part A Patient.
• Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
• Review the 24-hour Nursing report to capture possible change in condition of a patient.
• Prepare for all Medicaid audits.
• Track patient benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing.
• Achieve at least the budgeted rates expectation.
• Review Cantex Continuing Care Network policies on Abuse Prevention and enforce employee responsibilities.
• Support and uphold the Patient Care Management Systems as well as the Financial Management Systems.
• Ensure patient/resident safety.
• Perform other duties and tasks as assigned.

#HP

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