MDS Coordinator (Minimum Date Set)

The Waters; Indianapolis (IN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Excellent Pay

Tuition Reimbursement

Flexible Scheduling

Paid Birthdays

Paid Vacation Time-Cash Out Option

Paid Sick Time

Group Health Insurance

Dental and Vision Insurance

Life insurance plans

Disability plans

401K

Job summary

The Waters in Indianapolis, IN is seeking an MDS Coordinator/Nurse to perform federally mandated assessments of residents in a long-term care facility. As an RN, you will collect data and compile assessments to inform care plans and determine Medicare/Medicaid reimbursements.

Key duties include OBRA/PPS/MDS completion, care plan development with interdisciplinary teams, timely scheduling of conferences, CMS transmissions, and maintenance of MDS-related documentation in the EMR.

Qualifications

• RN license required for the MDS Coordinator position.
• Optional MDS Certification from AANAC is a bonus.

Responsibilities

• Complete OBRA, PPS and Managed Care MDS.
• Complete Admitting MDS Tracking Forms, Death in Facility tracking and required Discharge Assessments per the RAI Manual.
• Coordinate Care Plan development with other disciplines and OBRA schedule.
• Schedule and conduct Care Plan Conferences within 21 days of admission and every 90 days thereafter.
• Prepare Care Plan conference letters and manage invitations to residents and families.
• Maintain monthly OBRA calendar by the 20th of each month.
• Oversee weekly OBRA, PPS and Care Plan schedules for the IDT.
• Transmit OBRA/PPS MDS to CMS per guidelines.
• Coordinate and certify Medicare Part A/Managed Care obligations.
• Manage AB Notices and Medicare Cut Letters.
• Maintain the 100-day Medicare Part A and Managed Care log.
• Oversee Weekly Medicare Part A/Managed Care and RUG-IV 48 reports.
• Organize RUG-IV 48 supporting documentation and file organization.
• Complete ICD-10 DX module within the EMR within 72 hours of admission and on re-admissions.
• Coordinate CAAs for Full Comprehensive OBRA Assessments.
• Coordinate the 4 MDS interviews (BIMS, PHQ-9, Pain, Activity) and sign off on ARD.
• Coordinate ancillary departmental assessments for validation and ARD alignment.
• Present at Weekly Medicare/Managed Care and RUG-IV meetings.
• Manage insurance/managed care/Medicare caseload and re-authorization for services.
• Complete end-of-month billing and review as part of Triple Check.
• Monitor for Significant Changes in Status via 24-hour report and trigger new MDS if needed.
• Oversee EMR monitoring of ADLs, restorative programs, mood/behaviors.
• Document in POC to ensure accurate ADL coding; print/analyze QM/QI reports.
• Participate in QI/QM meetings and audits as assigned.
• Coordinate MDS-related surveys (focus and general) as needed.
• Assist with ADR requests for Medicare Part A/B and Managed Care.
• Perform other MDS responsibilities per direction of the MDS Consultant.

Education

Registered Nurse (RN)

Job description

WE ARE LOOKING FOR A MDS COORDINATOR TO JOIN OUR TEAM!!

A comprehensive benefit package includes:

• Excellent Pay
• Tuition Reimbursement
• Flexible Scheduling
• Paid Birthdays
• Paid Vacation Time-Cash Out Option
• Paid Sick Time
• Group Health Insurance
• Dental and Vision Insurance
• Life insurance plans
• Disability plans
• 401K

The MDS (Minimum Data Set) Coordinator/Nurse is an RN that conducts federally mandated assessments of the residents at a long-term care facility. MDS Coordinators are responsible for collecting integral data and compiling it into a thorough assessment to help determine the functional capacity with appropriate plan of care and to determine the reimbursement for all payer sources in relation to the RUG-IV 66 and RUG-IV 48 system established by the Centers of Medicare and Medicaid Services.

Essential Job Functions:

• The MDS Coordinator reports to the facility Administrator

• Completion of all OBRA, PPS and Managed Care MDS

• Completion of corresponding Admit MDS Tracking Forms, Death in the Facility Tracking Forms and any Discharge Assessments required per the RAI Manual

• Completion of all Nursing Care Plans and the coordination of the other disciplines to ensure timely initiation of their Care Plans and/or revised in conjunction with the OBRA schedule and exacerbation of the problem requiring review of the problem, goal or interventions

• Care Plan Conferences will be held within the first 21 days of admission and every 90 days thereafter as a minimum standard of practice

• Coordination of the Care Plan Conference letters for residents and families (Social Service provides the invitations to the residents and the front office sends the invitation letters to the family members)

• Completion of the monthly OBRA calendar by the 20th of the month

• Completion of the weekly OBRA, PPS and Care Plan schedule for the IDT

• Transmission of OBRA/PPS MDS Assessments to CMS per the Guidelines

• Completion and Certifications/Re-certifications when a resident is receiving Medicare Part A Benefits

• Coordination of the AB Notices and Medicare Cut Letters

• Completion of the 100 day Medicare Part A and Managed Care Log

• Completion of the Weekly Medicare Part A/Managed Care and RUG-IV 48 Report

• Completion of RUG-IV 48 supporting documentation Audit Tools

• Coordination of the RUG-IV 48 Supporting Documentation File Folders

• Completion of the ICD-10 DX Module within the EMR System. Completion within 72 hours of admission, review with every re-admission and with every OBRA and/or PPS MDS completion.

• Completion and coordination of the Care Area Assessment (CAAs) completion for all Full Comprehensive OBRA Assessment

• Completion and Coordinator of the 4 MDS Interviews (BIMS, PHQ-9, Pain and Activity) to ensure completion and signed off within the MDS on the Assessment Reference Date (ARD) or at minimum within the Assessment Reference Period (Observation Period)

• Coordination of the completion of the Ancillary Departmental Assessments to provide supportive documentation/validation. These assessments must be completed on the ARD or within the Assessment Reference Observation Period

• Weekly Medicare Part A/Managed Care, Medicare Part B and RUG-IV 48 meeting

• Coordination of the Insurance/Managed Care/Medicare Replacement caseload and re-authorization for services

• Completion and review of the end of the month billing for Triple Check

• Reviewing the 24 hour report daily to monitor for any potential Significant Changes in Status and need for an new Full Comprehensive MDS Assessment and/or revisions or development of new Care Plans

• Monitoring of the EMR System (ADLs, Restorative Programs, and Mood/Behaviors etc.)

• Documentation within POC with each OBRA MDS Assessment ARD period to establish/reinforce accurate ADL coding for the Late Loss ADL’s

• Printing and Analysis of the Quality Measure/Quality Indicator Reports

• Participation in the QI/QM Meetings

• Quarterly Review of the HFS Roster

• Coordination of the HFS Audit Survey Process (Surveys are random at this time)

• Coordination of the MDS Focused Survey Process (Surveys are random at this time)

• Coordinate of data collection for the ADR Process (Additional Documentation Requests) for Medicare Part A and B as well as Managed Care.

• Other MDS responsibilities per the direction of the MDS Consultant

Requirements

• Registered Nurse (RN)

• Optional : MDS Certification - American Association of Nurse Assessment Coordinators (AANAC)

Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, our company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.