Skilled Nursing MDS Coordinator

Pay Range $88,000–$124,000 annually, based on experience and certifications. Job Summary The Minimum Data Set (MDS) Coordinator is responsible for the MDS assessment process completion, care planning process, and scheduling of MDS assessments. The MDS Coordinator assures maximum reimbursement by: determining payment coverage of each resident from admission to discharge; and by strategically setting Assessment Reference Dates (ARD’s) for the MDS in collaboration with therapy services within the Omnibus Budget Reconciliation Act (OBRA) requirements. This position is responsible for determining Resource Utilization Group (RUG) levels and assisting with admission assessment processes. This position requires on-going education related to rules and regulations regarding MDS process and reimbursement. Job Responsibilities Administrative functions: May be involved in the pre-admission assessment in collaboration with the DON, Admissions Coordinator and HIM to determine coverage level for Skilled Nursing Facility (SNF) stay. Meets routinely and as indicated with the business office regarding billing requirements. Leads PPS meeting with therapy and unit coordinators to ensure goals are accomplished, review resident’s progress, determine reimbursement days used, days left to be used, and overall plan of care. Coordinates with interdisciplinary team (IDT) dates of discontinuation of qualified Medicare coverage benefits for stay and date of termination notification issued to resident and/or responsible party. Tracks to ensure necessary certifications/recertifications are completed and obtained in a timely manner. Monitors regulatory compliance for completion of MDS/Resident Assessment Instrument (RAI) process. Attends morning IDT meeting, care plan, and discharge meetings as indicated. Resident Assessment Instrument Process Sets ARD’s for the MDS process and involving therapy and IDT to strategically set the ARD for maximum reimbursement within the OBRA requirements. Completes the nursing sections of the MDS and Care Assessment Areas (CAA’s) within the required time frames. Consults with IDT members for pertinent clinical information as needed. Utilizes direct interview/observation skills, chart audits, resident/family interviews and communication with direct care staff when completing assessments. Ensures completion of assigned sections of the MDS by other IDT members. Serves as back up when needed to complete these sections for other IDT members. Instructs nursing and other IDT staff to monitor and document clinical information as needed. Works with IDT to determine if a resident change in status may be occurring. Set dates for assessments and follows guidelines for completion of significant change of condition MDS. Generates and distributes monthly care plan calendar for the following month. Conducts care plan conferences. Develops and updates resident plans of care and CNA worksheet based on MDS triggered areas ensuring the care plans accurately reflect the cares and clinical monitoring provided. Reviews all resident incidents and accidents and the 24-hour report daily to ensure that care plans for assigned residents reflect current and changing needs. MDS Submission/Transmission Completes the discharge tracking forms and entry tracking forms as required. Tracks completion of MDS’s and transmits in compliance with Centers for Medicare & Medicaid Services (CMS) timelines. Reviews validation reports and makes appropriate corrections as needed. Informs IDT members of validation errors as appropriate. Follows the CMS correction policy when an error is found and in need of correction. Quality Assurance Prints Quality Indicator Reports as requested. Participates in Quality Indicator Report reviews on a monthly basis. Reviews identified areas of concern for accuracy of information/documentation. Participates in facility programs i.e. dining program, wound / skin, bowel / bladder, nutrition / weight management, restraint management, behavior management, fall prevention etc. Assists in process improvement measures such as staff education, policy and procedure revisions and Quality Assurance activities as needed. Monitors and audits clinical record documentation to ensure accuracy and timeliness. Advises Director of Nursing Care of persistent issues related to non-compliant documentation. Skills, Abilities and Experience Knowledgeable of the theory, methods, and techniques of nursing. Knowledge of Medicare and Medical reimbursement principles and methods of implementation. Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions. Ability to maintain composure and cope with stress and frustration. Knowledge in computer skills with competency in computer applications. Ability to use office equipment and programs including but not limited to: email, telephone, computer, photocopier, printer, fax and Microsoft Office programs Ability to communicate clearly in oral and written English. Ability to maintain regular, consistent and reliable attendance Knowledge of State and Federal laws and regulations governing Long Term Care. Education and Experience Graduate of an accredited school of nursing Current CA LVN or RN license At least 3 years of clinical experience in long-term care nursing with 1 year in a management/administrative or supervisory role preferred Prior RNAC experience required Experience in Minimum Data Set/Resident Assessment Instrument/Prospective Payment System in a Skilled Nursing Facility Resident Assessment Instrument certification preferred; must be certified within six months of the date of hire Experience with and knowledge of Medicare rules, regulations and documentation requirements Computer and typing proficiency Experience with clinical assessment. Benefits At the Masons of California and its related entities, you will have the opportunity to combine your passion for helping people and high ethical standards with opportunities to advance your career. In return for your skills and passion we offer: A work environment focused on teamwork and support for excellent care Excellent health, wage replacement, and other benefits for you and your family's well-being A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan Investment in your growth through tuition reimbursement - $1,500 per year #J-18808-Ljbffr Masonic Homes of California