MDS Coordinator

Job Description

Job Description

MDS COORDINATOR- Exempt (Salary) Position

Reports to Administrator

OVERVIEW:

MDS Coordinator administers patient assessments and overseas the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner. The MDS Coordinator coordinates the care plan according to regulatory requirements. Ensures that resources are made available to patients and patient care is delivered effectively and to a satisfactory standard. Creates the schedule for all Medicare and Medicaid.  Start Medicare coverage for newly qualified patients and remain updated on changes in Medicare coverage and help determine documents needed for reimbursement.

RESPONSIBILITIES:

Oversees accurate and through completeion of the MDS, Care Area Assesments (CAA) and Care Plans in accordance with federal and state regulations and guidlines that govern the process.

Acts as an in-house Case Manager demonstrating detailed knowledge of residents' health status, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals and third- party payers.

Proactively communicates with Administrator and Dircetor of Nursing to identify regulatory risk that allow capture of resources provided on the MDS, and clinical trends that impact resident care.

Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Medicaid, and Managed Care.

Ensures timely electronic submission of all MDS to the state database. Reviews state validation reports and ensures that the appropriate follow up action is taken.

Facilities the Care Management Process engaging the resident, IDT, and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting.

Directly educates or provides company resources to the IDT members to ensure thay are knowledgeable of the RAI process.

Analyzes QI/QM data in conjunction with the IDT members to identify trends.

QUALIFICATIONS:

Proficiency in MDS 3.0.

Demonstrating knowledge of state and federal regulations.

Registered Nurse or LPN with current, active license in the state.

Minimum two years of clinical experience in LTC setting.

PHYSICAL REQUIREMENTS:

This position is very active and requires standing for long periods of time, walking throughout facility, bending, kneeling, stooping all day. The employee must frequently lift or move objects weighing over 20 pounds.