NH - Specialist, Performance Improvement (MDS)

One Brooklyn Health System Inc.; New York (NY); On-site; USD 90,000 - 110,000; Full time

Job summary

One Brooklyn Health System Inc. is seeking a MDS Coordinator to manage coordination of MDS assessments for residents and support clinical staff in delivering high quality care.

The role requires at least 2 years of MDS 3.0 experience in long-term care, NY RN licensure, and RAC-CT readiness. Strong communication, organizational skills, and MS Office proficiency are essential for success.

Qualifications

• Bachelor's in Nursing required.
• MDS 3.0 experience required.
• Long Term care experience preferred.

Responsibilities

• Complete accurate MDS assessments and CAAs as assigned.
• Monitor and audit clinical records for accuracy and timeliness.
• Coordinate with physicians and discharge planners for referrals and data capture.
• Maintain knowledge of Medicare criteria and RAC-CT certification.
• Monitor Case Mix Index (CMI) for risk and Medicaid impact.
• Perform additional duties as assigned.

Skills

Relationship building

Interpersonal skills

Organization

Attention to detail

Writing & listening

MS Office

Education

BSN (Bachelor’s in Nursing)

MS in Nursing preferred

Job description

Overview

MDS Coordinator is responsible for coordination of MDS assessments of each resident. Participates in the overall process of providing optimum care of each resident. Provides support to clinical staff in the provision of high care quality of life for each resident.

Responsibilities

• Completes accurate assessments, MDS, and CAAs as assigned.
• Monitors and audits clinical records, assures accuracy and timeliness.
• Informs PI Director of persistent issues related with non-compliant documentation.
• Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization.
• Gathers information on facility’s current residents for future assessments, including physical and mental states.
• Ensures accurate ICD-10 coding for proper reimbursement.
• Maintains current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations.
• Monitors Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement.
• Reviews daily all communications received via fax, email or mail.
• Completes special managed care projects; performs independent research and prepares/gathers information for reports and data summaries.
• Assists other departments with projects as needed in the spirit of teamwork.
• All other duties as requested.

Qualifications

Education:

• Bachelor’s Degree in Nursing.
• Master’s Degree highly desired.

Experience:

• Minimum of two (2) years of experience in MDS 3.0.
• Long Term care experience required.

Knowledge and Skills:

• Positive relationship building.
• Strong interpersonal and verbal communication skills.
• Organized with an ability to work independently to complete projects.
• Detail oriented with consistent follow-through.
• Excellent writing, listening and problem solving skills.
• Proficient with Microsoft Office suite applications such as Word and Excel.

Licenses, Certifications:

• New York State Registered Nurse
• Obtain Resident Assessment Coordinator–Certified (RAC-CT) within one year from the date of hire preferred.
• Maintain MDS RAC-CT Certification.

Physical Requirements:

• Consistent with that necessary to work in a variety of office settings.
• Position requires prolonged periods of sitting, reaching, walking throughout the work day.
• Position will be required to stoop, bend, lift, and carry items weighing up to 25 pounds.

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The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).

OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.