What are the responsibilities and job description for the RN MDS COORDINATOR position at Elan Skilled Nursing?
The MDS Coordinator - RNAC is responsible for the oversight and
coordination of the interdisciplinary assessment and care planning process which includes
comprehensive resident assessments; care planning, resident advocacy, facilitation of open
communication among IDT, the resident and family, and collection/transmission of data for
the purposes of quality improvement and adherence to the MDS and RAI requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may
be assigned.
1. MDS ensure coordination and scheduling according to regulations:
Scheduling of 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 MDSs 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
residents medical record necessary for accurate reimbursement.
Inputs and/or oversees the input of MDS data into the clinical software package.
Correct completion and submission of all required MDS tracking notices.
Verification that all transmissions have been completed as required for the MA Picture
Date submissions.
Completes census and tracking forms
2. Medicare determinations of residents eligibility for Part A covered services,
scheduling the required MDSs according the Medicare PPS regulations.
Confirms each residents technical eligibility for Medical skilled services at the time of
admission with the RNACs, 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.
Coordinates and leads the weekly Medicare meetings.
Provides copies of appropriate documentation from resident medical records as requested
by the Fiscal Intermediary to substantiate Medicare claims.
3. Ensures that the RNAC coordinates the interdisciplinary team process and the
development of resident care plans.
Leads the interdisciplinary team meetings when RNAC is not present.
Ensure that the RNAC compiles the IDT care plan based upon all of the information
presented at the team meeting by all disciplines.
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, and
insurance, 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.
Advises clinical staff related to quality measures and implications to clinical practice.
Participate in multidisciplinary QAPI activities and carry out QAPI roles and
responsibilities as assigned.
Attends other 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 with monthly billing RUGS-modifiers jointly with therapy and business office
to ensure accurate claims are submitted.
Oversees Care Tracker Error Observation Log reports
Monitor physician visits (new admissions, monthly)
Functions as a member of the facilitys nursing supervisory staff
EDUCATION and/or EXPERIENCE:
Registered Nurse with 3- 5 years in long term care including 3 years MDS/RAI process.
coordination of the interdisciplinary assessment and care planning process which includes
comprehensive resident assessments; care planning, resident advocacy, facilitation of open
communication among IDT, the resident and family, and collection/transmission of data for
the purposes of quality improvement and adherence to the MDS and RAI requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may
be assigned.
1. MDS ensure coordination and scheduling according to regulations:
Scheduling of 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 MDSs 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
residents medical record necessary for accurate reimbursement.
Inputs and/or oversees the input of MDS data into the clinical software package.
Correct completion and submission of all required MDS tracking notices.
Verification that all transmissions have been completed as required for the MA Picture
Date submissions.
Completes census and tracking forms
2. Medicare determinations of residents eligibility for Part A covered services,
scheduling the required MDSs according the Medicare PPS regulations.
Confirms each residents technical eligibility for Medical skilled services at the time of
admission with the RNACs, 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.
Coordinates and leads the weekly Medicare meetings.
Provides copies of appropriate documentation from resident medical records as requested
by the Fiscal Intermediary to substantiate Medicare claims.
3. Ensures that the RNAC coordinates the interdisciplinary team process and the
development of resident care plans.
Leads the interdisciplinary team meetings when RNAC is not present.
Ensure that the RNAC compiles the IDT care plan based upon all of the information
presented at the team meeting by all disciplines.
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, and
insurance, 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.
Advises clinical staff related to quality measures and implications to clinical practice.
Participate in multidisciplinary QAPI activities and carry out QAPI roles and
responsibilities as assigned.
Attends other 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 with monthly billing RUGS-modifiers jointly with therapy and business office
to ensure accurate claims are submitted.
Oversees Care Tracker Error Observation Log reports
Monitor physician visits (new admissions, monthly)
Functions as a member of the facilitys nursing supervisory staff
EDUCATION and/or EXPERIENCE:
Registered Nurse with 3- 5 years in long term care including 3 years MDS/RAI process.