Regional MDS & PPS Coordinator

OPCO Skilled Management; Fort Worth (TX); On-site; USD 85,000 - 125,000; Full time

Benefits offered by this job

Healthcare

Dental

Vision

PTO

401k

Job summary

OPCO Skilled Management in Fort Worth, TX, is seeking an experienced nurse administrator to support facility operations and Medicaid reimbursement processes. You will work with the Regional VP and QA Nurses to ensure accuracy in QI, PPS, and MDS, and to train staff on proper documentation and forms.

The role involves reviewing records, coordinating TILE and PPS changes, and guiding Directors of Nursing and business office staff through complex regulatory requirements.

Qualifications

• Current nursing license in the state where practicing.
• Strong organizational and mathematical skills.
• Strong verbal and written communication skills.
• Experience in long-term resident care Medicaid reimbursement; Director of Nursing experience preferred.

Responsibilities

• Collaborate with the Regional Vice President and QA Nurses to clinically support the facility.
• Provide in-service and training on QI/PPS/Medicaid reimbursement.
• Review medical records for accuracy for QI, MDS, and PPS.
• Review findings of state Medicaid reviews for accuracy.
• Complete the nursing portion of the ADRs as indicated by state PPS review.
• Review monthly resident charts for TILE, PPS and reimbursement changes, MDS and QI.
• Provide training to licensed nursing staff on documentation to support PPS and TILE levels.
• Train Directors of Nursing and nurse assessors on 3652 forms and MDS.
• Train business office managers on tracking levels of care for TILEs and PPS.
• Review TILE level changes made by TDHS reviewers and submit required documents to TDHS for inaccuracies.
• Review PPS levels and IQ indicators.
• Review monthly resident status reports and ensure TILE levels match calculated TILE levels from 3652 forms.
• Determine reasons for expired levels of care and investigate causes via tracking systems.
• Review transmitted 3652 forms for accuracy and assist in transmitting forms as needed.
• Review MDS and QI for accuracy and assist in obtaining QI and PPS.

Skills

Organizational skills

Mathematical skills

Verbal communication

Written communication

Education

RN license (state)

Job description

OPCO Skilled Management in Fort Worth, TX, is seeking an experienced nurse administrator to support facility operations and Medicaid reimbursement processes. You will work with the Regional VP and QA Nurses to ensure accuracy in QI, PPS, and MDS, and to train staff on proper documentation and forms.

The role involves reviewing records, coordinating TILE and PPS changes, and guiding Directors of Nursing and business office staff through complex regulatory requirements.