Regional MDS Coordinator

OPCO Skilled Management; San Antonio (TX); On-site; USD 110,000 - 160,000; Full time

Job summary

OPCO Skilled Management in the United States seeks a Regional Reimbursement Leader to manage clinical leadership teams in developing and evaluating MDS services across multiple facilities in the assigned region. The role supports quality care and fiscal responsibility through comprehensive MDS training and service support in compliance with Federal, State, and local regulations.

The incumbent trains Coordinators on resident assessments, plans of care, RAI processes, and MDS deadlines, ensuring

Qualifications

• RN license in state practiced.
• Associate or Bachelor's degree in Nursing from an accredited nursing school.
• Minimum of five (5) years in long-term or acute health care required.
• Minimum of five (5) years working as an MDS Nurse in long-term or acute health care
• At least three (3) years of multi-facility, regional MDS experience

Responsibilities

• Consults with and provides technical assistance to the MDS Coordinators through visits and interpretation of policies and regulations.
• Trains new MDS Coordinators in resident assessments, plans of care, and documentation of clinical records.
• Trains new MDS Coordinators on the RAI manual and deadlines for resident assessments and MDS completion.
• Observes MDS practices for compliance with standards and regulations.
• Inspects facilities for compliance with nursing standards and federal, state, and local regulations.
• May assume interim MDS Coordinator role as needed.
• Train facilities on company best practices with Compliance Team coordination to ensure compliant billing.
• Lead facility management staff and consultants in developing and executing business plans for operations including clinical management.
• Develop and implement metrics and benchmarks for quality of care.
• Advise Clinical Support Team and Director of Nursing to maximize resident satisfaction and wellbeing.
• Develop and monitor quality management policies for QM data collection and reporting.
• Assess eligibility, referrals, case management, disease management, and QM programs; provide evaluations and recommendations.
• Review clinic information system capabilities for standardized reporting across centers.
• Ensure RAI guidelines are followed and timely completion of resident assessments for payer programs.

Skills

RN license

MDS experience

regional leadership

Education

Associate or Bachelor's degree in Nursing

Job description

Job Summary

The Regional Reimbursement need will be responsible for management of clinical leadership teams in the development, implementation, coordination and evaluation of MDS services across multiple facilities. Supports quality care and fiscal responsibility through comprehensive MDS training and support services for assigned region. Responsible for the training and program review of MDS Services in accordance with Federal, State and Local laws and governing entity regulations.

Job Type: Full-Time

Job Summary

The Regional Reimbursement need will be responsible for management of clinical leadership teams in the development, implementation, coordination and evaluation of MDS services across multiple facilities. Supports quality care and fiscal responsibility through comprehensive MDS training and support services for assigned region. Responsible for the training and program review of MDS Services in accordance with Federal, State and Local laws and governing entity regulations.

Qualifications

• Currently licensed as RN in the state practiced.
• Associate or bachelor’s degree from an accredited nursing school required.
• Minimum of five (5) years in long-term or acute health care required,
• Minimum of five (5) years working as an MDS Nurse in long-term or acute health care
• At least three (3) years of multi-facility, regional MDS experience

Responsibilities

• Consults with and provides technical assistance to the MDS Coordinators through visits and the interpretation or clarification of policies and regulations.
• Trains new MDS Coordinators in conducting resident assessments, developing plans of care, evaluating residents’ responses to interventions and documenting clinical records.
• Trains new MDS Coordinators on the RAI manual and all applicable deadlines for resident assessments and completion of Minimum Data Sets (MDSs).
• Observes MDS and related practices for compliance with standards and regulations.
• Regularly inspects the facility and nursing practices for compliance with standards of nursing practice and federal, state and local regulations
• May be required to assume the role of interim MDS Coordinator, as needed.
• Ability to train facility MDS regarding company best practices including consistent coordination with other members of Compliance Team i.e. DON, BOM, Medical Records, and Therapy to ensure compliant billing.
• Leads the facility management staff and consultants in developing and working from a business plan that focuses on all aspects of facility operations, including clinical management.
• Responsible for developing and implementing appropriate metrics and benchmarks for company's quality of care, against which performance is evaluated.
• Regularly advises and directs Clinical Support Team, Director of Nursing to maximize resident satisfaction and wellbeing.
• Develops and utilizes a standardized process to evaluate and evolve practice to decrease variability and improve the care and safety of patients.
• Responsible for developing, implementing and monitoring quality management policies and procedures for quality data collection and reporting on QM measures.
• Conduct ongoing assessments of the existing eligibility and referrals, case management, disease management systems, and Quality Management programs within each clinical. Provide objective evaluation and recommendations for those systems.
• Review existing clinic information system capabilities for the tracking and monitoring of quality indicators. Make the necessary adaptations for standardized reporting across all centers
• Resident Assessment Instrument (RAI) guidelines are followed in the assigned region with focus on resident care and mixing financial reimbursement through the MDS process. Responsible for ensuring accurate and timely completion of resident assessments, in accordance with Medicare, Medicaid, OBRA and other payer program requirements.
• Utilizes and manages the distribution and utilization of survey information to address areas of importance as defined by our community and service partners.
• Ensure regulatory compliance to all federal, state and local regulations and laws relating to nursing home administration; guide facilities to operate within established company policies and practices
• Ensures each facility maintains building and grounds to appropriate standards and that equipment and work areas are clean, safe and orderly, and any hazardous conditions are addressed; ensure that Universal Precaution and Infection Control, Isolation, Fire Safety and Sanitation practices and procedures are followed.
• Helps the Administrator prepare staff for inspection surveys, instructing staff on matters of conduct and disclosure, being interviewed by inspectors, immediate corrections of problems noted by surveyors, etc. Reviews and reinforces important standards previously cited.
• Participates in the preparation of the Plan of Correction response to an inspection survey and implements any followup QA required for any nursing allegations.
• Provides 24-hour “on call” service to the nursing center in case of emergency.
• Assures that an adequate orientation and in-service training program is provided for MDS personnel.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

OPCO Skilled Management provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.