RN REGISTERED NURSE ASSESSMENT COORDINATOR

Priority Dispatch Corp.; Scranton (Lackawanna County); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated RNAC to oversee MDS assessments and manage medical records in a skilled nursing facility. This role is crucial for ensuring compliance with Medicaid and Medicare regulations while providing leadership in interdisciplinary team processes. The ideal candidate will have a strong background in gerontology, excellent communication skills, and a commitment to maintaining high standards of patient care. Join a collaborative environment where your expertise will make a significant impact on the quality of care provided to residents.

Qualifications

• Registered Nurse with 3-5 years experience, preferably in Gerontology.
• Must maintain current BCLS certification.

Responsibilities

• Coordinate MDS assessments and ensure compliance with regulations.
• Lead interdisciplinary team meetings and update care plans.
• Maintain medical records and oversee clerical staff in the department.

Skills

MDS Coordination

Regulatory Compliance

Medical Record Management

Interdisciplinary Team Leadership

Communication Skills

Education

Registered Nurse

Experience in Gerontology

BCLS Certification

Tools

Clinical Software

Job description

Job Details

Job Location: SCRANTON, PA

Salary Range: Undisclosed

Job Category: Health Care

Description

SUMMARY: The RNAC is responsible for the oversight and coordination of the MDS assessments required by Medicaid and Medicare PPS along with management of medical records.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

1. MDS – coordination and scheduling according to regulations:
   • Scheduling, transmission and correction of transmitted MDS data to ensure that each resident is appropriately assessed and assigned a correct RUG level for payment in the Medicaid system.
   • Ensures that all facility procedures related to the RAI process are followed to maintain all state and federal regulatory compliance standards.
   • Auditing completed MDS’s to ensure that the assessments are appropriately reflecting the residents’ status according to the RAI.
   • Functions as a resource person to other clinical staff members to provide education on completing the MDS and corresponding documentation to support the MDS in the resident’s medical record.
   • Inputs and/or oversees the input of MDS data into the clinical software package.
   • Correct completion and submission of all required MDS tracking notices.
   • Maintains and updates the database used to track the resident’s assessment schedule on a timely basis.
   • Verification that all transmissions have been completed as required for the MA Picture Date submissions.
   • Completes census and tracking forms.
2. Medicare – determinations of resident’s eligibility for Part A covered services, scheduling the required MDS’s according to the Medicare PPS regulations:
   • Confirms each resident’s technical eligibility for Medical skilled services at the time of admission with the Business and Admission departments. Assesses the medical eligibility of those residents meeting the technical requirements for skilled services. Obtains physician certifications for Medicare covered services.
   • Generates denial of coverage notices as appropriate and within the guidelines of the Medicare program.
   • Coordinates with Business Office, rehab therapy and other disciplines to ensure that Medicare MDS notices are complete according to regulation.
   • Monitors residents receiving skilled services for change in condition on an ongoing basis.
   • Attends and participates in the weekly Medicare meetings.
   • Provides copies of appropriate documentation from resident medical records as requested by the Fiscal Intermediary to substantiate Medicare claims.
3. Coordinates the interdisciplinary team process and the development of resident care plans:
   • Leads the interdisciplinary team meetings.
   • Compiles the ID care plan based upon all of the information presented at the team meeting by all disciplines.
   • Updates and rewrites care plans according to facility policy.
   • Schedules residents for routine and special reviews.
4. Medical Records:
   • Maintains the medical records of current and discharged residents according to facility policy.
   • Oversees the tasks and assignments of the clerical staff assigned in the Medical Records department.
   • Provides copies of information requested by residents, other health care providers, insurance companies, state and federal agencies in accordance with facility policy.
5. Other Responsibilities:
   • Maintains the nursing census book and provides the Business Office staff with daily updates in the resident census including changes which impact payer status.
   • Communicates with other disciplines to promote the team concept in regard to resident care.
   • Participate in multidisciplinary QAPI activities and carry out QAPI roles and responsibilities as assigned.
   • Attends committee meetings as assigned.
   • Prepares all required information for Utilization Management Reviews.
   • Coordinates the completion of all required Medicaid 51 and 103 forms in accordance with facility procedures.
   • Maintains log of residents with terminal/end stage diagnosis.
   • Reviews and completes returned lab requests to ensure coding is correct.
   • Updates access program with changes (payer source, room change, etc.).
   • Completes audits as assigned.
   • Provides therapy manager with monthly billing RUGS-modifiers.
   • Inputs Care Tracker Error Observation Log reports.
   • Monitor physician visits (new admissions, monthly).
   • Functions as a member of the facility’s nursing supervisory staff.

Qualifications

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE: Registered Nurse with at least three to five years’ experience, preferably in Gerontology; at least 1 year experience as an RNAC in a skilled nursing facility or completion of an approved training program on the RAI process after 6 months of appointment to the position. Must maintain current Basic Cardiopulmonary Life Support (BCLS).