MDS Coordinator- RN

Job Description

STGi is currently seeking a MDS Coordinator-Registered Nurse to provide services at the William R. CourtneyTexasState Veterans Home.

The William R. CourtneyTexasState Veterans Home is located in Temple, TX. Our staff provides compassionate and specialized care to our nation's veterans. We focus on providing the best experience for residents and their families.


JOB SUMMARY: To provide and coordinate the delivery of premier resident centered health care to optimize profitability and a positive community and market presence through the coordination and implementation of clinical, regulatory and reimbursement systems so the community's financial and clinical objectives are met or exceeded.

ESSENTIAL FUNCTIONS:

1. Participate in the QOL, Q-Mix and Triple Check meetings conducted in the community.

2. Follow systems, nursing standards and guidelines.

3. Provides information and education to community team members on use of the RAI / PPS / VA processes and their correlation to resident care and reimbursement.

4. Coordinate and oversee all functions of the MDS assessment process to assure accuracy and compliance with federal and state requirements.

5. Timely and accurate completion of residents' MDS assessments and care plans and take follow-up action as necessary.

6. Participate in the pre-admission process to determine potential residents' level of care and participate in resident level of care determination upon admission.

7. Support the billing schedules and procedures.

8. Be familiar with residents' condition and care needs. Follow and educate community team members on the review process and provide recommendations to address potential areas of concern/opportunity, utilizing programs and reports on various state and company generated reports.

• State Missing Assessment Report

• State Validation report

• Community Casper Report - QM's

• 5 Star

• Point Right - FastTrack, RADAR, DIA, etc.

• SimpleLTC/TMHP/Optima

• On-hold report

9. Provide education to community team members on POC documentation, change of condition alerts; late and mid-loss ADL's to support MDS and QM data elements.

10. Update an OIG binder and assist the community during OIG reviews and reconsideration process.

11. Participate in clinical assignments for comprehensive reviews as part of the IDT community team.

12. Follow-up on community visit, comprehensive recommendations from regional support team members and established survey plan of corrections.

13. Conduct audits of each communities EHR/documentation systems to include but not limited to:

o PCC MDS Module - Assessment Scheduler, ARD planner, 3.0 Batch and validation reports

o Assessment type, submission and timing of LTCMIs, PPS, PDPM and OBRA assessments

o MDS item set components such as: risk management, physician's orders, interviews, section GG, POC for ADL late and mid-loss ADL accuracy

o Significant Change Analysis Report/24 hour Summary - run report for 72 hour period X2 to obtain a 6 day look back and review for anything that flags impacting care plans and potential significant change MDS's

o Physician Orders, Physician certifications/recertification's

o Clinical Dashboard review -care plan reviews, incomplete (overdue and due) care plans, diagnosis notifications, change in condition alerts and point of care completion

o Baseline Care Plans - Initiated within 48 hours and reviewed/signed by RN

o UDA's - for potential MDS opportunities

14. Participates in the on boarding process for orientation for new community interdisciplinary team members.

15. Participates in all training as required including Relias, PCC, Point Right, SimpleLTC/TMHP, Optima and company program rollouts.

16. Provides information to regional operations, clinical and community management team on the status of clinical and financial reimbursement.

17. Interview and hire appropriate individuals to perform tasks under his / her supervision.

18. Supervise team members' performance of assigned tasks in accordance with established procedures and policies.

19. Perform other duties as assigned by the community administrator.

Required Skills

REQUIRED EXPERIENCE AND SKILLS:

A current and valid Texas RN nursing license or a current and valid RN license from a Compact Party State. The RN may continue to practice under the former home state license and multistate licensure privilege during the processing of the nurse's licensure application in the new home state for a period not to exceed thirty days.

Familiar with Reimbursement system of Medicare, Medicaid & Case Management

Preferred Skilled Nursing Facility Experience as an MDS Nurse

CMAC certification or completion within 30 days of hire and renewal every 2 years

MDS coordinator must maintain current with the training (renewal every 2 years).

Knowledge of state and federal regulations, both clinical and financial as it relates to the RAI process and reimbursement systems

Knowledge of the clinical software billing system and the MDS process.

Proficient in the use of computer systems (WORD, Excel, EHR system, etc.)

Required Experience

REQUIRED EDUCATION:

A current and valid Texas RN nursing license or a current and valid RN license from a Compact Party State.

Current Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification required prior to performing work, preferably from American Heart Association (AHA), or have the ability to obtain certification within thirty (30) days of employment.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

The physical demands and work environment described herein is a representative of those that generally must be met by a team member to successfully perform the essential functions of this job:

• This position primarily involves standing, walking, twisting, reaching, bending/stooping, pushing and pulling (typical weight of 5 lbs. and maximum weight of 15 lbs., approximately), and lifting (minimum weight of 5 lbs. and maximum weight of 25 lbs., approximately).

• The position requires repetitive finger movements as well as hearing and talking on the phone and in person.

• Must be able to continuously deal effectively with stress created by residents, multiple tasks, noises, interruptions, and work cooperatively as part of the health care team while maintaining a pleasant attitude.

DISCLAIMER

The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission.


STGi offers a competitive benefits package which includes Medical, Dental, Vision, 401k with company match and a generous PTO policy.


STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.


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