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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 Qualifications:
  • 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.
Education/Training:
  • High School diploma or GED Equivalent
  • Graduation from Registered Nurse (RN) or Licensed Practical Nurse (LPN) accredited school
Work Experience:
  • Must be able to read, write and understand the English language
  • Prior experience with MDS process is preferred.
Certification, Licensure, Registration:
  • 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
Other Qualifications:
  • 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.
Working Conditions:
  • 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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