MDS Coordinator (Registered Nurse)

About Prosper Health The mission of Prosper Health is to provide our residents with exceptional skilled nursing and rehabilitative care in a patient-centered wellness environment. We passionately care for all the people around us and aim to foster close-knit relationships that positively impact everybody encountering the Prosper Health brand from our respected residents, to our valued employees, to our local Florida communities. Position Summary: MDS Coordinator administers patient assessments and oversees the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner. MDS Coordinator coordinates the care plan as according to regulatory requirements. Ensure that resources are made available to patients and that patient care is delivered effectively and to a satisfactory standard. Create the schedule for all Medicare and Medicaid. Start Medicare coverage for newly qualified patients or send out denial letters and remain updated on changes in Medicare coverage and help determine documents needed for reimbursement. Key Responsibilities: · Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans, in accordance with current federal and state regulations and guidelines 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 Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional information that influences the clinical and operational outcomes of the Facility/Community · Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures the RUG score which reflects the care and services provided · Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid · Ensures timely electronic submission of all Minimum Data Sets to the state data base. Reviews state validation reports and ensures that appropriate follow-up action is taken · Facilitates 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 they are knowledgeable of the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are involved with the RAI process. Teach and train new or updated RAI or company processes to interdisciplinary team (IDT) members as needed · Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis · Responsible for timely and accurate completion of Utilization Review and Triple Check · Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator QUALIFICATIONS: · Bachelor’s in Nursing · Proficiency in MDS 3.0 · Demonstrating knowledge of state and federal regulations · Registered Nurse with current, active license in the state employed · Minimum two (2) years of clinical experience in an LTC setting · Prior experience as an MDS coordinator BENEFITS: Medical, Dental and Vision Generous Paid Time Off 401 (K) Daily Pay Option Employee Assistance Program Notice: Employment is contingent upon successful completion of a Florida AHCA Level 2 background screening in accordance with state regulations. #J-18808-Ljbffr