MDS Coordinator: RAI, PPS & Care Plan Specialist

Outfield Healthcare Partners; Clinton (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401K

Job summary

Outfield Healthcare Partners seeks an MDS Coordinator to manage timely completion of the MDS/RAI process from admission to discharge in line with policy and Federal/State guidelines. Reporting to the Director of Nursing and VP of Clinical Reimbursement, you may coordinate information systems operations and education for the clinical department.

You will collaborate with the Interdisciplinary Team to schedule MDS assessments and care plan reviews, decide on additional MDS steps, and monitor

Qualifications

• RN license in state of practice.
• Minimum of 2 years nursing experience in a Skilled Nursing Facility.
• Strong knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement.
• Thorough understanding of OBRA and the MDS process.
• Experience with MDS 3.0 is 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

Care planning knowledge

Medicare PPS knowledge

Quality Indicator knowledge

Education

Registered Nurse license

Tools

MDS 3.0

Job description

Outfield Healthcare Partners seeks an MDS Coordinator to manage timely completion of the MDS/RAI process from admission to discharge in line with policy and Federal/State guidelines. Reporting to the Director of Nursing and VP of Clinical Reimbursement, you may coordinate information systems operations and education for the clinical department.

You will collaborate with the Interdisciplinary Team to schedule MDS assessments and care plan reviews, decide on additional MDS steps, and monitor