Corporate MDS Coordinator

Job Description

Job Description

Position Summary :

The MDS Coordinator is responsible for completing and submitting the detailed, federally mandated RAI and for integrating the data to develop a comprehensive plan of care for each resident. The MDS Coordinator assures that each discipline completes his / her component of the assessment in a timely and accurate manner.

Core Responsibilities :

Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames.

Assesses resident through physical assessment, interview and chart review

Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning

Coordinates, identifies, and / or initiates significant change MDS

Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff

Maintain and monitor compliance of state and federal rules and regulations related to RAI.

Refer findings of inaccurate, untimely, or incomplete documentation to the Director of Nursing or Administrator and follow through to ensure timely compliance.

Input information related to the RAI process into the electronic record keeping system.

Assure that care plan dates are scheduled according to regulated guidelines.

Perform the regular duties of an RN, as needed;

Maintain knowledge and keep abreast of changes related to long term care issues.

Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation

Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement

Determine potential HIPPS codes and expenses associated with a potential admission

Monitor Case Mix Index (CMI) scores, looking for potential risks and / or changes that may affect Medicaid reimbursement

Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR

Update disciplines on insurance cuts, changes, and / or appeals

Weekly IDT triple checks for A / R billing accuracy

Coordinates and conducts PPS / Medicare meetings

Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements

Performs other duties as assigned

Minimum Qualifications :

Minimum 3 year long term care experience required.

Computer literacy skills including basic mouse and keyboard operations. Electronic clinical documentation experience preferred.

Experience as an MDS Nurse

Demonstrates knowledge and experience with level of care determinations.

Excellent leadership skills

Strong organization skills

Ability to relate professionally to all customers

Ability to effectively communicate both orally and written form

Must be able to work independently, self-motivated and goal oriented

Ability to manage stress due to time constraints, responsibilities, emergencies, and interpersonal job demands.

Current BLS certification required.

Education / Training :

High School diploma or GED Equivalent

Graduation from Registered Nurse (RN) accredited school

Work Experience :

Must be able to read, write and understand the English language

Prior experience with MDS process

Certification, Licensure, Registration :

Current, unencumbered, active license to practice as a Registered Nurse (RN) in the state of Michigan.

AANC certification RAC-CT

Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS)

Other Qualifications :

Promotes and protects patients’ rights; treats patients with dignity and respect; reports suspected abuse or neglect.

Enters or records data timely and accurately; protects confidentiality of patient information; protects data against loss or destruction; reports suspected violation of security / confidentiality issues.

Must be willing to accept and work toward progress, change and high standards of accomplishments for self and others.

Have strong interpersonal skills as well as be able to work as a team with strong interpersonal skills.

Must attend and participate in professional activities and programs.

Have the ability to be flexible and perform other duties as assigned.