MDS RN: RAI, PDPM & Care Planning Leader

Ciena Healthcare; Saint Joseph (MI); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Medical, dental, and vision insurance

401K with matching funds

Life Insurance

Employee discounts

Tuition Reimbursement

Student Loan Reimbursement

Job summary

Ciena Healthcare at Royalton Manor in Michigan seeks an experienced MDS Nurse to lead accurate RAI processes, complete MDS, CAAs, and care plans within regulatory timeframes, ensuring assessments reflect residents' clinical status.

You will collaborate with the interdisciplinary team, maintain PPS logs, monitor PDPM and Case Mix compliance, and participate in care planning with a focus on quality and compliance.

Qualifications

• Prior MDS/RAI experience strongly preferred.
• Knowledge of RAI guidelines, PDPM, ICD-10 coding, Quality Measures, and Care Area Assessments and Care Planning processes.
• Knowledge of the Resident Assessment Instrument (RAI) process, including the principles of the Prospective Payment Process (PPS) and Case Mix systems strongly preferred.
• Knowledge of regulatory standards and compliance requirements.
• Demonstrated ability in independent functioning and strong leadership.

Responsibilities

• Coordinates scheduling the RAI process with the interdisciplinary team.
• Completes the MDS, CAA’s and care plans within regulatory timeframes.
• Coordinate with interdisciplinary team (IDT) members to gather timely, accurate assessment data to ensure timely completion of the MDS.
• Ensure compliance with state and federal guidelines as it relates to the Patient Driven Payment Model (PDPM) and Case Mix payment systems.
• Communicates with the interdisciplinary team regarding changes in resident care needs.
• Coordinates, identifies, and/or initiates significant change MDS’
• Conducts a thorough resident assessment during quarterly reviews by interviewing the residents, staff, and family.
• Coordinates and conducts PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS log for monitoring of Medicare days in the absence of the MDS Coordinator.
• Occasionally participates in direct and indirect Resident care activities as directed by supervisor. (This may include duties listed in the RN Nurse Job Description)
• In conjunction with the Social Worker, coordinates Resident Care Conferences to ensure residents and/or responsible parties participate in resident care planning for the assigned resident.
• Ensure compliance with state and federal legal, regulatory, accreditation and reimbursement guidelines.
• Attends and participates in departmental/facility meetings, as required.
• Adheres to all safety and risk management protocols and programs.
• Participates in Quality Assurance and Performance Improvement initiatives.Interprets Company policy and makes decisions based on the application of those policies where applicable.

Skills

Independent functioning

Leadership

Education

RN license

Job description

Ciena Healthcare at Royalton Manor in Michigan seeks an experienced MDS Nurse to lead accurate RAI processes, complete MDS, CAAs, and care plans within regulatory timeframes, ensuring assessments reflect residents' clinical status.

You will collaborate with the interdisciplinary team, maintain PPS logs, monitor PDPM and Case Mix compliance, and participate in care planning with a focus on quality and compliance.