MDS Coordinator

MDS Coordinator 

Hours: M-F Days, weekends as needed

Setting: LTC

SUMMARY:
To conduct and coordinate the development and completion of the resident assessment in accordance with the federal, state, and local laws, guidelines, and regulations governing the facility.

DUTIES:  
Maintain the MDS OBRA and PDPM schedules

Conduct and coordinate the development and completion of the resident assessment (MDS) in accordance with current rules, regulations, and guidelines that govern the resident assessment, including the implementation of care area triggers and resident care plan.

Participate in facility surveys (inspections) made by authorized government agencies.

Be highly involved in determining skilled level of care for MCR residents and procuring MCR specific documentation; be responsible for physician certifications of a skilled level of care throughout the MCR stay; be involved in making eligibility determinations.

Provide insight and analysis of MDS based Quality Measures.

Serve as a member of the quality assurance / QAPI committees

Work closely with the hospital discharge planners, physicians and Admissions personnel to obtain accurate and complete documentation to support ICD-10 /CMI diagnosis coding, IV medication administration and surgical procedures 

Informs the Director of Nursing, Business Office and Social Service of all Medicare Determinations and Discontinuation of coverage. Ensures all Medicare determinations are completed in a timely manner.

Participate in the planning, conducting, and scheduling of timely in-service training classes that include assessment skills or techniques needed to complete the assessment functions of the facility.

Understands and optimizes PDPM and CMI reimbursement scores. Ensures necessary documentation required for Medicare coverage is completed.

participates in triple check process and ensures timely MCR and HMO billing

Ensure that all members of the assessment team are aware of the importance of completeness and accuracy in their assessment functions and that they are aware of the penalties, including civil money penalties, for false certification.

Ensure that a comprehensive care plan is completed within twenty-one days of the resident's admission.

Ensure that quarterly and annual resident assessments and care plan reviews are made on a timely basis.

Ensure that a complete resident assessment is conducted within fourteen days of a significant change in the resident's condition. Responsible for completion of (MDS sections) MDS assessments.

Ensure MDS assessments are transmitted timely to the appropriate agencies. Review final validation reports and corrections / modifications in response to warnings / errors as needed.

Responsible for completion of Certification and Recertification forms and skilled care forms.

Attend departmental and staff meetings as directed or called.

Attend and participate in in-service educational classes and on-the-job training programs, etc., as scheduled or directed.

Perform other related assignments as required.

QUALIFICATION:  

Must have, at a minimum, 1 year(s) of experience in a long-term care facility

MDS experience or certification is preferred. 

Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state.

Must possess the ability to make independent decisions when circumstances warrant such action.

Must possess the ability to interact professionally with personnel, residents, family members, visitors, government agencies/personnel, and the general public.

Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

Must possess leadership and supervisory ability and the willingness to work effectively with and supervise other personnel.

Must be able to relate information concerning a resident's condition.

Must be able to cope with the mental and emotional stress of the position.

Must possess at a minimum basic computer skills.

Must possess in-depth and comprehensive physical assessment skills along with the ability to assess each resident holistically.