Regional MDS Support Specialist (RN) – Compliance & Reimbursement

Trilogy Health Services, LLC; New Albany (IN); On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Weekly pay

401(k) match

Student Loan Repayment

Tuition Reimbursement

Health benefits

Job summary

Trilogy Health Services, LLC is seeking a CS-Resident Assessment RN to guide MDS accuracy, regulatory compliance, and reimbursement optimization across campuses we serve in Indiana and surrounding areas.

The role partners with MDS Coordinators and facility staff to evaluate processes, conduct audits, and implement improvements that support adherence to professional standards and improve resident outcomes.

Qualifications

• Registered Nurse license in the state of practice.
• 3-5 years of MDS experience.
• Experience with regulatory standards and reimbursement processes is preferred.

Responsibilities

• Supports assessment function(s) to augment the management in each facility through the imparting of knowledge, advice or counsel to Executive Directors, Directors of Health Services, MDS Coordinators, Social Services, and other facility staff members.
• Focus of Assessment Support role is to assist the MDS Coordinator and campus staff in adherence to professional, corporate, and regulatory standards.
• Works in cooperation with the VP of Clinical Assessment and Director of Assessment Support, VP and AVP of Clinical Operations, Chief Nursing Officer, Division Vice President, Operations Support, and Chief Operating Officer.
• Assists campus management teams to understand the MDS and clinical reimbursement processes.
• Emphasizes the importance of good rapport among the department managers in a positive, solution-oriented approach that leads to better service.
• Works in partnership with the Divisional Vice President of Operations and Campus Support - Clinical staff to assist in providing recommendations that relate to the MDS and nursing department in campuses assigned.
• Evaluates the delivery of MDS and related services and confers with the management staff in determining goals and objectives for solutions to problem areas resulting in immediate and satisfactory response to concerns.
• Audits the MDS assessment to ensure accuracy of item coding for regulatory and reimbursement purposes.
• Oversees transmission process to confirm accuracy and timeliness of all assessments prior to submission.
• Establishes rapport with regulatory agencies, professional organizations, teaching institutions, and community leaders.
• Provides visit observation reports and audits for distribution after each on-site facility visit and/or significant communication on matters of importance which detail observations, recommendations for improvement, issues and problems discussed, directions given, and updates or follow-up from previous communication.
• Maintains ongoing knowledge of the operational details of the MDS Coordinator position and its relationship to Health Campuses.
• Serves as a consultant and facilitator to the campus MDS Coordinator, Director of Health Services, and Executive Director by planning, developing, organizing, implementing, evaluating, and supporting the direction of MDS Coordinators.
• Other duties as assigned.

Skills

MDS knowledge

Regulatory compliance

Auditing

Collaboration

Education

Associate Degree in Nursing

Job description

Trilogy Health Services, LLC is seeking a CS-Resident Assessment RN to guide MDS accuracy, regulatory compliance, and reimbursement optimization across campuses we serve in Indiana and surrounding areas.

The role partners with MDS Coordinators and facility staff to evaluate processes, conduct audits, and implement improvements that support adherence to professional standards and improve resident outcomes.