MDS RN - Ashley
Pioneer Health Care Management
Position Summary:
The MDS Coordinator is responsible for completing and submitting the detailed, federally mandated RAI and for integrating the data to develop a comprehensive plan of care for each resident. The MDS Coordinator assures that each discipline completes his/her component of the assessment in a timely and accurate manner.
Core Responsibilities:
- Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames.
- Assesses resident through physical assessment, interview and chart review
- Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning
- Coordinates, identifies, and/or initiates significant change MDS
- Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff
- Maintain and monitor compliance of state and federal rules and regulations related to RAI.
- Refer findings of inaccurate, untimely, or incomplete documentation to the Director of Nursing or Administrator and follow through to ensure timely compliance.
- Input information related to the RAI process into the electronic record keeping system.
- Assure that care plan dates are scheduled according to regulated guidelines.
- Perform the regular duties of an LPN/RN, as needed;
- Maintain knowledge and keep abreast of changes related to long term care issues.
- Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation
- Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement
- Determine potential HIPPS codes and expenses associated with a potential admission
- Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
- Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR
- Update disciplines on insurance cuts, changes, and/or appeals
- Weekly IDT triple checks for A/R billing accuracy
- Coordinates and conducts PPS/Medicare meetings
- Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements
- Performs other duties as assigned
- Minimum 1 year long term care experience required.
- Computer literacy skills including basic mouse and keyboard operations. Electronic clinical documentation experience preferred.
- Experience as an MDS Nurse preferred
- Demonstrates knowledge and experience with level of care determinations.
- Excellent leadership skills
- Strong organization skills
- Ability to relate professionally to all customers
- Ability to effectively communicate both orally and written form
- Must be able to work independently, self-motivated and goal oriented
- Ability to manage stress due to time constraints, responsibilities, emergencies, and interpersonal job demands.
- Current BLS certification required.
- High School diploma or GED Equivalent
- Graduation from Registered Nurse (RN) or Licensed Practical Nurse (LPN) accredited school
- Must be able to read, write and understand the English language
- Prior experience with MDS process is preferred.
- Current, unencumbered, active license to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Michigan.
- AANC certification a plus. RAC-CT
- Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred
- Promotes and protects patients' rights; treats patients with dignity and respect; reports suspected abuse or neglect.
- Enters or records data timely and accurately; protects confidentiality of patient information; protects data against loss or destruction; reports suspected violation of security/confidentiality issues.
- Must be willing to accept and work toward progress, change and high standards of accomplishments for self and others.
- Have strong interpersonal skills as well as be able to work as a team with strong interpersonal skills.
- Must attend and participate in professional activities and programs.
- Have the ability to be flexible and perform other duties as assigned.
- Works in office as well as throughout the facility.
- Sits, stands, bends, lifts and moves intermittently during working hours.
- Is subject to frequent interruptions.
- Is subject to hostile and emotionally upset employees, residents, family members, etc.
- Communicates with the medical staff, nursing staff, and other foundation supervisors.
- Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
- May be exposed to blood, body fluids, infectious waste, diseases, conditions, air contaminants etc., including the AIDS and Hepatitis B viruses including COVID-19.
- May be exposed to chemicals for cleaning and sanitation purposes.
- There may be instances of standing, walking, sitting, bending, stooping, squatting, grasping/gripping, finger dexterity, writing/data entry, lifting/carrying (up to 25 pounds).
- There may be instances of climbing stairs, pushing or pulling, reaching above shoulders.
Vacancy posted 1 day ago
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