MDS RN Coordinate-Shorepointe

Optalis Healthcare (Health & Rehabilitation Centers); Saint Clair Shores (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Optalis Healthcare ShorePointe is seeking an MDS Coordinator to oversee the RAI cycle and ensure accurate, timely data transmission to the state bulletin board in compliance with regulations.

You will coordinate with the Interdisciplinary Team, educate staff on MDS processes, schedule assessments, review charts for Medicare eligibility, and liaise with the billing department to support timely billing. This on-site role requires attention to detail and collaboration with the Director of Nursing.

Responsibilities

• Coordinate the Resident Assessment Instrument (RAI) cycle and ensure timely data transmission to the state Bulletin Board in compliance with State and Federal regulations.
• Facilitate communication between the Interdisciplinary Team.
• Provide ongoing education to staff preparing the MDS.
• Prepare and schedule RAI assessments following State and Federal guidelines.
• Notify Interdisciplinary Team members of assessment dates and schedules.
• Assist in completing RAI and input data into the RAI system.
• Supervise RAI completion by the Interdisciplinary Team.
• Adjust assessment schedules to ensure appropriate RUG scores for each resident.
• Screen MDS for accuracy before finalizing, locking, and signing.
• Transmit RAI data weekly or as needed and track state reports.
• Interact with the team during daily conferences to evaluate Medicare skilled coverage.
• Assist with chart audits for changes in condition RAIs and Medicare eligibility.
• Ensure billing clarification with the billing department for timely cycles.
• Liaise with the Interdisciplinary Team and software vendor as needed.
• Perform other duties as delegated by the Director of Nursing.

Job description

Work Location

ShorePointe

Job Description

Position Summary

• Responsible for the coordination of the Resident Assessment Instrument (RAI), the electronic transmission of RAI data to the state Bulletin Board in accordance with State and Federal regulations and facility policies.
• Facilitates communication between the Interdisciplinary Team.
• Ongoing education of those preparing the M.D.S.
• RAI Preparation and Process
• Schedules completion of RAI following State and Federal guidelines.
• Notifies Interdisciplinary Team members with distribution of schedules showing dates of assessment schedules.
• Assists in completion of RAI as needed.
• Assists with data input into the RAI computer system.
• Supervises the completion of the RAI by the Interdisciplinary Team.
• Modification to assessment schedule to ensure appropriate RUG score for each individual resident.
• Screens each Minimum Data Set (MDS) for accuracy before finalizing, locking, and signing.
• Transmits RAI data to the state weekly or as needed.
• Tracks Validation Reports, Monthly and Quarterly Reports from the state.

II. Medicare Review and Coverage

• Active interaction with the Interdisciplinary Team in daily conference to evaluate each resident’s status and needs relative to Medicare skilled coverage and potential for RUG category changes.
• Assist Interdisciplinary staff with Medicare review via chart audit in order to ensure that:
• Change of condition RAIs are initiated when appropriate;
• Review chart documentation, including nursing and ancillary progress notes, care plans, and CNA notes, reflects the need for the care and services the resident receives;
• Medicare coverage is discontinued when resident no longer meets criteria.

III. Other Duties

• Ensures RAI/MDS software is functioning properly and is in contact with software vendor to ensure that facility is using the most current version of software.
• Clarification of Medicare Certification/Re-Certification forms for different disciplines. Assist with the completion and maintenance of the Resident Roster and the Census and Condition Reports.
• Works closely with the state RAI/MDS automation coordinator.
• Coordinates with the billing department on assessment schedules for effective date of assessments and clarification of billing assessment codes to complete the billing cycle in a timely manner.
• Utilizes the Internet for research and information gathering for changes in the RAI and Medicare process.
• Acts as a liaison to the Interdisciplinary Team.
• Performs other duties incidental to the position and as delegated by the Director of Nursing.