MDS Coordinator: Regulatory Compliance & Care Planning

OPCO Skilled Management; Brownsburg (IN); On-site; USD 60,000 - 75,000; Full time

Job summary

OPCO Skilled Management is seeking an experienced MDS Coordinator in Indiana to support the Director of Nursing and the RN Assessment Coordinator. You will ensure documentation compliance with Federal, State and Certification guidelines and coordinate the RAI process from MDS through the care plan completion.

The role requires RN/LVN licensure in the state, a minimum of 2 years in a Skilled Nursing Facility, and solid knowledge of OBRA regulations, Medicare PPS, and Medicaid reimbursement.

Qualifications

• Graduate of an approved Registered Nurse / Licensed Vocational Nurse program and licensed in the 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, as required. Through understanding of the OBRA regulations and Minimum Data Set. Knowledge of the care planning process.

Responsibilities

• Assists the center in assuring adherence to Federal and State regulations and certification.
• Actively participates in the regulatory or certification survey process and the correction of deficiencies
• Reports trends from completed audits to the Quality Assurance Committee
• Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system.
• Follows up with staff when necessary to assure compliance to standards of documentation.
• Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual.
• Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
• Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion.

Skills

MDS coordination

Regulatory knowledge

Medicare/Medicaid reimbursement

Audit/reporting

Education

RN/LPN license

Job description

OPCO Skilled Management is seeking an experienced MDS Coordinator in Indiana to support the Director of Nursing and the RN Assessment Coordinator. You will ensure documentation compliance with Federal, State and Certification guidelines and coordinate the RAI process from MDS through the care plan completion.

The role requires RN/LVN licensure in the state, a minimum of 2 years in a Skilled Nursing Facility, and solid knowledge of OBRA regulations, Medicare PPS, and Medicaid reimbursement.