MDS Coordinator: RAI, Care Plans & Compliance Pro

Outfield-Healthcare-Partners; Clinton (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

Outfield-Healthcare-Partners is seeking a skilled MDS Coordinator to ensure timely RAI and care management from admission to discharge in line with policy and Federal, State, and Certification guidelines.

Under the direction of the Director of Nursing and VP of Clinical Reimbursement, you may coordinate information systems operations and provide education for the clinical department, while maintaining accurate MDS coding and documentation in medical records.

Qualifications

• Graduate of an approved Registered Nurse program and licensed in the state of practice.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
• Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.
• Experience with MDS 3.0, preferred.

Responsibilities

• Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies.
• Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual.
• Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s).
• Complies with federal and state regulations regarding completion and coordination of the RAI process.
• Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding.
• Maintains current MDS status of assigned residents according to state and federal guidelines.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
• Attends interdisciplinary team meeting, quality assurance and other meeting in order to gather information, communicate changes, and maintain and update records.
• Assists DON or designee with identification of a significant change, physician orders and verbal reports to assure that the MDS and care plan are reflective of those changes.
• Prepares scheduling, notice of resident care planning conferences, and assists DON in communication of outcomes/problems to the responsible staff, resident, and/or responsible party.
• Continually updating knowledge base related to data entry and computer technology.
• Completes electronic submission of required documentation to the state database and other entities per company policy.
• Corrects and ensures completion of final MDS and submits resident assessment data to the appropriate State and Federal government agencies.
• Assigns, assists, and instructs staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes.
• Maintains confidentiality of necessary information.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Skills

Case-Mix knowledge

Medicare/Medicaid reimbursement

MDS 3.0 experience

Regulatory compliance

Education

Registered Nurse (RN) license

Tools

MDS software

Job description

Outfield-Healthcare-Partners is seeking a skilled MDS Coordinator to ensure timely RAI and care management from admission to discharge in line with policy and Federal, State, and Certification guidelines.

Under the direction of the Director of Nursing and VP of Clinical Reimbursement, you may coordinate information systems operations and provide education for the clinical department, while maintaining accurate MDS coding and documentation in medical records.