Assessment Nurse/ MDS

***Sign on Bonus***

***Pay depends on Experience***

Do you have a passion for caring & helping others?

Do you want to be part of a nursing team who changes lives?

Come join our team whose mission is to provide excellent resident care with a vision to be the provider and employer of choice in long term care through integrity, professionalism and the art of caring.

Job Summary

The Nurse Case Manager (NCM) is responsible for the coordination between the Assessment Department and Interdisciplinary Team (IDT) including scheduling of the RAI process, preadmissions, admissions, nursing documentation and evaluations for continued stay. The NCM shall ensure an effective assessment program by complying with ethical standards when setting ARDs, completing assessments, and upholding Medicare/Medicaid requirements. The NCM is responsible for adequately assessing nursing facility residents’ needs using the Resident Assessment Instrument (RAI) process and for coordinating individualized resident centered care. The NCM coordinates with the Interdisciplinary Team to develop, revise, update, and maintain a comprehensive care plan and ensure that compliance is maintained with state and federal guidelines. Coordinates with the Billing Department to assign HIPPS payment categories and UB 04 coding. Develops and monitors on-going MDS schedules for each resident. The NCM assists with the coordination of care delivery by applying advanced nursing clinical skills, completing assessments, analyzing data, educating team members, and coordinating the exchange of resident information across care settings. The NCM works with hospice representatives to coordinate care to the hospice provided resident. Follows a flexible work schedule to cover weekend admissions. Performs general nursing duties as required. If a Registered Nurse, may be designated as RAI Coordinator.

Qualifications

1. At least one year of long term care experience

2. Demonstrates leadership and managerial ability balanced by strong clinical knowledge and skills.

3. Has the ability to organize, plan and supervise the Nursing Department in coordination with other resident services.

4. Maintains effective interpersonal relationships and works well with the general public.

5. Is capable of implementing changes as mandated by Federal, State and management recommendations.

6. Must be willing to be in and/or available to the facility weekends as well as weekdays.

7. Must be willing to participate in the on call schedule.

8. Must demonstrate the ability to function as a cooperative team member with all disciplines

Responsibilities

1. Knowledgeable of federal, state, and local government regulations and legislation.

2. Coordinate the RAI process, which includes, at a minimum: · Minimum Data Set (MDS) · Care Area Assessment process · Care plan development · Care plan implementation · Evaluation

3. Provides oversight of assessment completion and transmission to the national repository. Review final validation reports and corrections or modifications in response to warnings or errors as needed

4. Oversees the baseline care plan and coordinate the completion of the comprehensive care plan according to regulatory requirements.

5. Maintains the MDS OBRA and PPS assessment schedules notifying the IDT of any changes

6. Determines skilled level of care for Medicare residents and procuring required Medicare-specific documentation; responsible for physician certification of a skilled level of care throughout the Medicare stay; involved in making eligibility determinations during the pre-admission and post-admission process.

7. Coordinates care with case managers for residents utilizing managed care, health maintenance organizations (HMOs), commercial insurance, and other alternate payment models

8. Maintains compliance with state-specific regulations regarding the RAI process and case mix requirements.

9. Provide insight and analysis of MDS-based Quality Measures

10. Serves as a member of the quality assessment and assurance (QAA) and the quality assurance and performance improvement (QAPI) committees as requested by the DON.

11. Works closely with hospital discharge planners and physicians to obtain accurate and complete documentation to support ICD-10-CM diagnosis coding and surgical procedures

12. Audits and improves staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessments

13. Participates in discharge planning, training, caregiver training, and the provision of resources as needed

14. Maintains confidentiality of sensitive information

15. Plans, organizers, prioritizes, work independently, and meets deadlines

16. Works effectively with individuals at all levels of the organization, as well as with residents, family members, visitors, government personnel, and the public

17. Identifies cost variances and recommends cost controls related to resource utilization

18. Be knowledgeable of regulations, practice standards, and procedures, as well as laws, regulations, and guidelines pertaining to the RAI process.

19. Possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for ensuring the accurate and timely completion of the RAI documents

20. Have the ability to learn computer systems, system applications, and related office equipment

21. Ensure that the residents’ rights to fair and equal treatment, self-determination, individuality, privacy, property, and civil rights, including the right to file grievances are always well-established and maintained

22. Attends and communicates information to and from Daily Stand-Up Meeting, Admission Meetings, and Utilization Review Meetings.

23. Adjusts assignments of assessment department members when necessary (unbalanced workload). Adjusts assignments for absences, vacations, and vacant positions in assessment department.

24. Completes Requests for issuance for denial letters.

25. Demonstrates ability to directly perform treatments and provide services to the level of licensure.

26. Knowledge of medication and their correct administration based on age of the resident and their clinical condition.

27. Make rounds on all admissions and re-admissions from the hospital for 30 days from admission and observe for any new or escalating problems.

28. Reports immediately to supervisor, administrator and local law enforcement situations involving abuse, neglect, or suspicion of a crime.

29. Adheres to the Code of Conduct, Compliance Program, HIPPA Standard, and Computer Usage Agreement.

30. Performs any other responsibilities as discussed and designated by the Director of Nursing.

Job Type: Full-time

Pay: $26.00 - $32.00 per hour

Expected hours: No less than 40 per week

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

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

Experience:

• MDS: 1 year (Required)

License/Certification:

• LPN License (Required)
• RN License (Required)

Work Location: In person

Salary : $26 - $32