RN MDS Nurse: Care Plans & Compliance Leader

Ohio Living; Delaware (OH); Sur place; USD 70 000 - 90 000; Plein temps

Résumé du poste

Ohio Living is seeking a Registered Nurse with experience in MDS and long-term care to ensure accurate resident assessments, care plans, and documentation in line with state and federal standards. You will lead the MDS transmission process, monitor Medicare/Medicaid activities, and work with the interdisciplinary team to maximize quality and reimbursement.

Strong EMR skills, Windows/MS Office, and English proficiency are required; this full-time on-site role offers growth and a stable healthcare

Qualifications

• Two years experience with MDS preferred.
• Two years experience as a nurse in a long-term care facility required.
• Experience as a nurse in a long-term care facility required.
• Experience in rehabilitative and restorative nursing practices required.
• Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care with special emphasis placed on documentation.
• Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
• Proficiency with electronic medical records (EMR) systems required.
• Must be able to read, write, speak, and understand the English language.

Responsabilités

• Oversees the RAI process and submission (EHDS).
• Plans and communicates assessment and care plan information to staff.
• Oversees and completes the computer data entry and electronic submission process for MDS transmission (EHDS).
• Oversees Medicare and managed care logs, directing decision‑making regarding insurance coverage, cut dates, and MDS schedules.
• Oversees skilled resident and patient statuses to maximize reimbursement.
• Oversees Medicaid resident statuses to maximize case mix scores.
• Participates in care conferences.
• Remains available during surveys and audits of the facility and/or the facility’s documentation.
• Assists with insurance appeals by reviewing documentation coded on MDS and verifying for consistency.
• Attends all-employee and departmental meetings and in-service training as scheduled or as directed.

Formation

Nursing degree from an accredited college, university or vocational school

Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN)

Description du poste

Ohio Living is seeking a Registered Nurse with experience in MDS and long-term care to ensure accurate resident assessments, care plans, and documentation in line with state and federal standards. You will lead the MDS transmission process, monitor Medicare/Medicaid activities, and work with the interdisciplinary team to maximize quality and reimbursement.

Strong EMR skills, Windows/MS Office, and English proficiency are required; this full-time on-site role offers growth and a stable healthcare