Resident Care Management Director - MDS - Full-Time 1st Shift

Hcshiring; Shawano (WI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance for full-time staff

Dental and vision insurance

401(K) Program for full-time staff

6 paid holidays plus floating holiday

Company paid life insurance

Voluntary life and disability

Paid Time Off

Job summary

North Shore Health is seeking a Registered Nurse to direct and administer the Resident Assessment Instrument (RAI) process, ensuring accurate MDS completion and compliant reporting for Medicare/Medicaid programs.

The role includes leading an interdisciplinary team, maintaining documentation, and staying current with regulatory changes to maximize optimal reimbursement and quality care.

Qualifications

• Active RN license in good standing with the state board.
• Experience with MDS/RAI process and Medicare/Medicaid requirements.
• Strong clinical assessment skills and documentation accuracy.

Responsibilities

• Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations.
• Chairs the Center's Interdisciplinary Plan of Care team to develop comprehensive resident care plans.
• Ensures face validity of all MDS before submission and accuracy of scoring.
• Coordinates MDS completion to ensure timely submission and compliant reporting.
• Maintains MDS records and supporting documentation per State and Federal requirements.
• Stays current with state and federal regulatory changes and HIPAA requirements.

Skills

MDS knowledge

Regulatory compliance

Clinical assessment

Interdisciplinary collaboration

Education

RN license

Job description

We provide in-depth MDS training, certifications, and ICD 10 coding.

North Shore Health is Midwest's leading employer and providerof post-acute care. Our dedicated professionals strive to deliver quality careto our residents and their families. Join a Vibrant family feel companywith career growth opportunities.

Our mission is to establish a culture thatreinforces the values necessary to be the premier health services provider andemployer in each community we serve. We understand that choosing where you wantto go in your career is a big decision. We want the opportunity to show youthat North Shore Healthcare is the Right Choice for you.

Summary/Objective:

Responsible for the direction andadministration of the Resident Assessment Instrument (RAI) process to ensureaccurate and timely completion of resident assessments in accordance withMedicare, Medicaid, OBRA, and other payor program requirements. Ensuresassessments accurately reflect each resident's physical, mental, andpsychosocial status; ensures accuracy of RAI to reflect optimal reimbursementfor services provided; ensures appropriate documentation to report and supportservices provided and assessment accuracy.

Responsibilities:

Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.

• Oversees and coordinates the developmentand completion of the resident assessment (MDS) in accordance with currentFederal and state regulations
• Coordinating and leading the development ofa comprehensive resident assessment and care plan for each resident as chairpersonof the Center's Interdisciplinary Plan of Care team
• Ensuring the face validity of all MinimumDataSets before electronic submission
• Coordinate the completion of eachresident's MDS in compliance with all State and Federal requirements
• Calculate triggers and develop residentassessment protocols for initiation of care plan
• Ensure MDSs are completed timely
• Accurately identify each resident's levelof functioning in accordance with RAI manual guidelines
• Coordinate and assist with weeklyinterdisciplinary care conferences and Medicare meetings
• Maintain MDS and supporting clinical recorddocumentation according to State and Federal requirements and in compliancewith center policies/procedures
  • Review andassess all resident information (including hospital records) toaccurately complete MDS scoring
  • Trainnursing staff on responsibilities for timely and accurate clinical recorddocumentation
• Participates in theinterdisciplinary care team
• Stays current withstate and federal regulatory changes
• Complies with lawsand regulations applicable to position and act in accordance with theCenter's Compliance Program
• Attends andparticipates in in-service training, performance improvement("PI") committees, and other meetings as scheduled and directed
• HIPAA
  • Follows andadheres to the Center's policies and procedures implementing HIPAArequirements for the privacy and security of protected health information
  • Uses and/ordiscloses only the minimum amount of Protected Health Informationnecessary to complete assigned tasks
  • Reports allsuspected violations of the company's HIPAA policies or procedures to theCenter Privacy Designee

Required Experienceand Education

• Registered Nurse (RN) in good standing with the respective state licensing board

Preferred Experienceand Education

• 2+ years of previousexperience
• Experience in a fast-paced environment
• Post-acute care or healthcare experience
• Demonstratedcompetence PDPM as well as OBRA compliance
• Excellent clinicalassessment skills

Benefits:

• Health insurance for full-time employees
• Dental and vision insurance for full and part-time staff
• 401(K) Program for full and part-time staff
• 6 paid holidays plus one floating holiday for full-time staff
• Company paid life insurance for full-time staff
• Voluntary life and disability insurance for full-time staff
• Paid Time Off