MDS Coordinator - RN - LVN

Cantex; Plano (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive wages

401k with match

Medical, Dental, Vision & Supplemental

Vacation, Sick, Personal Holidays

Short-Term Disability

Life Insurance

Tuition & CEU Reimbursement

Rewards & Recognition Program

Job summary

Cantex is seeking an MDS Coordinator to ensure proper Medicare/Medicaid reimbursement through the RAI process and to support ongoing quality patient care in accordance with federal and state standards.

The role requires an active Texas RN or LVN license, at least 1 year of MDS experience, and preferred LTC background. Certification in AANAC within 1 year and HHSC RUG training are expected as part of professional development.

Qualifications

• RN or LVN license in Texas.
• 1 year of MDS experience required.
• 2 years of LTC experience preferred.
• AANAC RAI Certification within 1 year of employment.
• HHSC RUG Online Training completion required.

Responsibilities

• Maintain compliance with State and Federal Medicaid/Medicare rules and interpretations.
• Participate in assessment of pre-admission paperwork for medical necessity.
• Attend weekday standup meetings.
• Coordinate Weekly Reimbursement Meeting with Interdisciplinary Team for proper reimbursement.
• Audit Clinical Records and educate staff on documentation guidelines.
• Obtain Medicare qualifying diagnoses and update changes.
• Initiate and update physician certifications for Medicare Part A patients.
• Complete all MDS assessments within the required timeframes.
• Review 24-hour Nursing reports for changes in condition.
• Prepare for Medicaid audits.
• Track patient benefit days and coordinate with Financial Manager for accurate billing.
• Aim to meet budgeted rates.

Skills

Communication

Leadership

Documentation

Education

RN or LVN license (TX)

AANAC RAI Certification

HHSC RUG Online Training Completion

Job description

Overview

The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.

Overview

The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.

Responsibilities

• Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
• Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination.
• Attends “standup” meetings every weekday morning.
• Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
• Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
• Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
• Initiates and updates the physician certifications for each Medicare Part A Patient.
• Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
• Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.
• Prepares for all Medicaid audits.
• Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
• Achieves at least budgeted rates expectation.
• Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employee’s responsibility to enforce it.
• Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.
• Responsible for assuring patient/resident safety.
• Performs other duties and/or tasks as assigned.

Qualifications

• A current, valid Texas nursing license is required (RN, LVN)
• At least 1 year of MDS experience is required
• At least 2 years of LTC experience is preferred.
• Must have an “Acknowledgement of Completion Certificate” through the HHSC RUG Online Training for Nursing Facilities.
• Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
• Ability to effectively communicate, direct, and at times, delegate tasks.
• Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.
• Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the public.

Benefits/EEO

What We Offer You

• Competitive Wages
• 401k with match
• Medical, Dental, Vision & Supplemental Insurance
• Vacation, Sick, Personal Holiday & Paid Holidays
• Short-Term Disability
• Life Insurance
• Tuition & CEU Reimbursement
• Rewards & Recognition Program

EEOC

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.