Resident Care Management Director - MDS - Full-Time Day/Evening

North Shore Healthcare; Milwaukee (WI); Vor Ort; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

North Shore Healthcare is seeking a Full-Time RN/LPN role focused on directing the Resident Assessment Instrument (RAI) process. You will ensure accurate MDS completion, reflect resident status, and support optimal reimbursement for services. Join a team dedicated to quality care and regulatory compliance.

The role emphasizes expert MDS coordination, staff training, and ongoing adherence to HIPAA and OBRA requirements in a post-acute setting.

Qualifikationen

• Registered Nurse in good standing with the state licensing board.
• 2+ years of previous experience preferred.
• Post-acute care or healthcare experience advantageous.
• Demonstrated competence with PDPM and OBRA compliance.
• Excellent clinical assessment skills.

Aufgaben

• Oversees development and completion of the resident assessment (MDS) in line with Federal and State regulations.
• Leads the Center's Interdisciplinary Plan of Care team and coordinates care plans.
• Ensures face validity of all MDS before electronic submission.
• Maintains MDS documentation per state and federal requirements and center procedures.
• Trains nursing staff on timely and accurate clinical record documentation.
• Stays current with state and federal regulatory changes and HIPAA requirements.
• Participates in PI committees and related meetings.

Kenntnisse

RN license

Ausbildung

RN license or degree

Jobbeschreibung

#LI-MS1

This role is a Full-Time Salaried position (RN/LPN)

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

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

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

Summary/Objective:

Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.

Responsibilities:

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

• Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
• Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care team
• Ensuring the face validity of all Minimum Data Sets before electronic submission
• Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
• Calculate triggers and develop resident assessment protocols for initiation of care plan
• Ensure MDSs are completed timely
• Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
• Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
• Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
• Review and assess all resident information (including hospital records) to accurately complete MDS scoring
• Train nursing staff on responsibilities for timely and accurate clinical record documentation
• Participates in the interdisciplinary care team
• Stays current with state and federal regulatory changes
• Complies with laws and regulations applicable to position and act in accordance with the Center's Compliance Program
• Attends and participates in in-service training, performance improvement ("PI") committees, and other meetings as scheduled and directed
• HIPAA
• Follows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
• Uses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasks
• Reports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy Designee

Required Experience and Education

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

Preferred Experience and Education

• 2+ years of previous experience
• Experience in a fast-paced environment
• Post-acute care or healthcare experience
• Demonstrated competence PDPM as well as OBRA compliance
• Excellent clinical assessment skills