MDS Coordinator (Registered Nurse/RN) – Medicaid Reimbursement Coordinator

The Highlands; Fitchburg (MA); On-site; USD 85,000 - 110,000; Full time

Job summary

The Highlands is seeking an experienced RN MDS Coordinator to coordinate and assist with the completion and submission of MDS Assessments, CCAs, and Care Plans in accordance with CMS RAI guidelines. You will ensure accuracy, timeliness, and compliance with all applicable regulations while supporting an interdisciplinary team.

We expect a current RN license, two years of nursing experience (geriatric preferred), and CPR certification.

Qualifications

• Associate’s or bachelor’s degree in nursing from an accredited college or university.
• Currently licensed/registered in applicable State. Must maintain an active RN license in good standing throughout employment.
• Two (2) years’ nursing experience. Geriatric nursing experience preferred.
• CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.

Responsibilities

• Coordinate and assist with completion and submission of interdisciplinary, accurate, and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations.
• Report any changes in a patient’s condition identified by the MDS Assessment to the DON.
• Provide education to direct care associates regarding CMS RAI Manual or Skilled Nursing Facility Regulations updates affecting documentation.
• Assist with review of the Interdisciplinary Comprehensive Care Plan.
• Review Final Validation Reports and attest that all assessments are completed and accepted into CMS QIES prior to billing.
• Review CMS Reports to identify assessments completed or submitted late and develop systems to prevent recurrence.
• Attend Daily PPS Meetings and Monthly Triple Check, and other meetings.
• Perform functions of a staff nurse as required.
• Exhibit excellent customer service and a positive attitude towards patients.
• Assist in evacuation of patients.
• Demonstrate dependable, regular attendance.
• Communicate and function productively on an interdisciplinary team.

Education

Associate’s or Bachelor’s degree in nursing

Active RN license in good standing

Job description

Live the Mission:

Position Summary: The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CAAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements:

• Associate’s or bachelor’s degree in nursing from an accredited college or university
• Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment.
• Two (2) years’ nursing experience. Geriatric nursing experience preferred.
• CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.

Specific Job Requirements:

• Advanced knowledge in field of practice
• Make independent decisions when circumstances warrant such action
• Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
• Implement and interpret the programs, goals, objectives, policies, and procedures of the department
• Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
• Maintains professional working relationships with all associates, vendors, etc.
• Maintains confidentiality of all proprietary and/or confidential information
• Understand and follow company policies including harassment and compliance procedures
• Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

Essential Functions:

• Coordinate and assist with completion and submission of interdisciplinary, accurate, and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations
• Report any changes in a patient’s condition identified by the MDS Assessment to the DON
• Provide education to direct care associates regarding updates or changes to the CMS RAI Manual or Skilled Nursing Facility Regulations that impact documentation
• Assist with review of the Interdisciplinary Comprehensive Care Plan
• Review Final Validation Reports and attest that all assessments have been completed and accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill
• Review CMS Reports to identify assessments completed or submitted late and develop systems and processes to prevent reoccurrence
• Attend and participate in the Daily PPS Meeting, Monthly Triple Check, and other meetings upon request
• Perform functions of a staff nurse as required
• Exhibit excellent customer service and a positive attitude towards patients
• Assist in the evacuation of patients
• Demonstrate dependable, regular attendance
• Concentrate and use reasoning skills and good judgment
• Communicate and function productively on an interdisciplinary team
• Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
• Read, write, speak, and understand the English language
  An Equal Opportunity Employer