MDS Care Plan Coordinator

MDS/CARE PLAN COORDINATOR, RN

About Us

At Accolade Healthcare, we put an emphasis on the satisfaction of our team members, understanding that a foundation built on quality patient care starts with the people providing the care. Our goal is to care for our staff with respect, empathy, and appreciation. Providing our professional staff with safe and efficient equipment to complete their mission is our priority. Accolade is committed to never being satisfied with industry norms and standards – instead, always searching for creative methods to equip our team with the tools necessary to achieve success.

Job Summary

The overall purpose of the MDS/CARE PLAN COORDINATOR position is to manage the integrity of the facility’s RAI and Medicare processes. This includes assuring that residents receiving Medicare services qualify for those services, that all documentation required to support continuing stay is completed, that MDS/PPS assessments are completed timely and accurately according to regulations and that skilled nursing care is provided on a continuing basis.

Pay Rate

Pay Rate: $83,000-$95,000 annually

Benefits

• Medical, Dental, Vision and additional other voluntary benefits
• 401k with company match
• Generous Paid Leave Policy
• Free uniforms after hire
• Daily Pay partner
• Newly renovated breakrooms - fully stocked beverages
• Monthly Employee Appreciation Events and Celebrations
  
  
  

Essential Duties And Responsibilities

• Obtains and maintains timely physician certifications for each Medicare resident.
• Coordinates preparation of MDS and Care Plan as per regulatory requirements.
• Updates care plans as needed or indicated.
• Maintains MDS/Care Plan schedule for interdisciplinary team.
• Invites families and/or residents to participate in care plan meetings in writing at least two weeks prior to meeting date. The MDS/Care Plan Coordinator is flexible with scheduling to meet the needs of the residents and family.
• Remind and assist residents to care plan meetings.
• Assure daily documentation of assessment for each Medicare resident on a daily basis.
• Verifies daily Medicare documentation is appropriate and meets Medicare coverage guidelines.
• Tracks Medicare resident benefit days, validates daily Medicare census and coordinates this information with the Business Office Manager to assure accurate billing.
• Coordinates weekly Medicare meeting with Interdisciplinary Team.
• In cooperation with the Social Service Director, keep responsible parties/residents abreast of continuing or ending Medicare coverage.
• Completes responses to requests for additional information from the intermediary and appeals decisions, when necessary, within established time frames.
• Assures preparation of Medicare denial letters for each resident discharged
• Assures Medicare coverage within time limits imposed by Medicare guidelines.
• Participates in the ongoing evaluation of documentation required for Medicaid reimbursement.
• Monitors the appropriate MDS web site for up-to-date changes.
• Transmits assessments by regulatory guidelines to the state repository, receives validation reports, corrects errors and resubmits as needed.
• Other duties as assigned.
  
  
  

PHYSICAL DEMANDS

• The physical demands described, for the MDS/Care Plan Coordinator are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
• Ability to communicate in English via phone, in writing, and verbally in conversations with different levels of staff, patient families, and any outside customers.
• While performing the duties of this job, the employee is frequently required to stand and walk. The employee is occasionally required to sit; use hands or fingers, handle, or feel; reach with hands and arms; talk or hear; and taste or smell.
• The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Ability to utilize a computer, phone, etc. for extended periods of time.
• While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate.
  
  
  

Requirements

• BLS Certification
• Registered Nurse RN - required