MDS Coordinator , RN

Position Summary:

Directs the Resident Assessment Instrument process and care planning process to provide and bill for services in the licensed and certified nursing center. Assists the Director of Nursing to direct health related services for the Nursing Center, as they relate to the MDS / Care Plan functions.

Essential Duties and Responsibilities:

The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

• Maintains current knowledge base of guidelines for Medicare/Medicaid providers.
• May conduct pre-admission assessments for Residents seeking admission to the nursing center.
• Evaluates Residents for meeting the criteria for Medicare payment, to include clinical eligibility and availability of Medicare days.
• Supervises interdisciplinary team in completing a comprehensive Resident Assessment Instrument, to include Minimum Data Set (MDS), Care Area Assessments (CAA) and CAA Guidelines.
• Schedules and certifies on-time completion of RAI process for all Medicare and non-Medicare assessments, according to state and federal guidelines.
• Monitors resident health status to identify significant changes and complete re-assessment process.
• Analyze all MDS assessments prior to final submission to Center for Medicare/Medicaid Services (CMS) using the standard organizational software (Matrix care)
• Transmits RAI data to Center for Medicare/Medicaid Services (CMS) on a scheduled basis.
• Upload and submit all MDS data to the standard organizational QAPI software (Abaqis) on a routine and consistent basis.
• Communicates with billing personnel to establish Medicare billing accuracy and timeliness.
• Supervises interdisciplinary team in developing a plan of care for each resident based on assessments.
• Provides education for interdisciplinary team, licensed nurses, and unlicensed staff to document services provided according to the plan of care.
• Conducts regularly scheduled audits of the services provided by internal and external providers for accuracy and timeliness of documentation to validate billing.
• Monitor Quality Measures Report monthly with particular emphasis on those measures impacting the Federal Five Star System to ensure that residents in the numerator of each measure are coded correctly according to the RAI guidelines.
• Performs assists facility interdisciplinary teams in determining MDS accuracy issues related to the Quality Measures
• Report to and conduct a monthly drill down with HCA and DON to review all quality measures at or above 75%.
• Will actively participate in the plan of action with the IDT team to address quality measures at or above 75%.
• Coaches the IDT team to develop processes to address MDS accuracy issues
• Explains procedures and treatments to resident to gain cooperation, understanding, and alleviate apprehension.
• Assist in planning, organizing, and leading the Health Center to insure competent nursing care for the residents around the clock.
• Be knowledgeable of the established policies and interpreting those policies according to the standards of nursing practice.
• Works with various clinical services of institution as needed.
• Participates in community quality assessment and improvements programs.
• Maintains compliance to all personnel policies, established community policies and procedures, and Federal and State regulations and standards, including but not limited to HIPAA privacy and confidentiality laws.
• Other related duties as assigned.

Supervisory Responsibilities:

• Provides supervision to Interdisciplinary Care Team and others as assigned to assure delivery of consistently high-quality care to residents and documentation of care per state and federal requirements. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

Qualifications:

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, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Educational Requirements and Experience:

• Bachelor’s degree in Nursing.
• Registered Nursing license in good standing.
• Experience with the CMS Resident Assessment Instrument process.
• Knowledge of OBRA/Federal/State regulations.
• Two years of supervisory experience in a Long-Term Care setting preferred.
• Knowledgeable of standards of care and practices applicable to the delivery of geriatric services, complex medical conditions, multiple medical diagnoses, including preventive measures, rehabilitation, and promoting independence.

Knowledge, Skills and Abilities:

• Language Ability:

• Ability to communicate effectively in writing and verbally, speaking the primary language of the residents.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or Team Members of organization.

Mathematical Skills:

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to calculate figures and amounts such as dosages, fluid intake & output, accurate measurements, proportions, percentages, area, circumference, and volume. Ability to

• Cognitive Demands:

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills:

• Ability to use Microsoft Windows including Word and Excel. Ability to use email and the Internet.

Competencies:

• Must demonstrate an interest in working with a senior population.
• Interacts with guests, residents and staff in a courteous and friendly manner.
• Responds promptly to resident needs.
• Supports organization's goals and values.
• Balances team and individual responsibilities.
• Must be highly detail oriented.

Environmental Adaptability:

• Works primarily indoors in a climate controlled setting.
• Team Members may be exposed to blood and/or body fluids with potential exposure to hazardous materials and infectious diseases.
• Possible exposure to unpleasant odors.
• Possible exposure to chemicals as identified in the MSDS Manual.
• Continuous exposure to residents who are ill, confused, irritable and irrational.

Physical Requirements:

The physical demands described below are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to stand. The employee is frequently required to walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds independently and up to 190 pounds with assistance of a second employee and/or mechanical devices. Must be able to push up to 350 lb. (wheelchair). The employee may occasionally be required to lift greater than 190 pounds with the assistance of additional staff and/or a mechanical lift. Specific vision abilities required by this job include close vision and distance vision.

The Farms at Bailey Stations is an equal opportunity employer.

Job Type: Part-time

Benefits:

• Dental insurance
• Disability insurance
• Health insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekends as needed

Education:

• Bachelor's (Preferred)

Experience:

• Utilization review: 1 year (Preferred)

License/Certification:

• RN (Required)

Work Location: In person