RN Coordinator of Care - Home Health

The MDS Coordinator (RN) is responsible for ensuring the timely completion of accurate assessments and interdisciplinary care plans that meet Federal and State guidelines. The MDS Coordinator identifies resident acuity and needs, helping to determine specific care needs and communicating needs as well as expectations to families and responsible parties. This role is responsible for completing assessments, Minimum Data Set (MDS) and care plans for all residents assigned This role also shares on call rotation with Resident Care Managers.

Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each

state’s specific background check requirements prior to contact with patients/residents.

Essential Functions

Manages MDS Assessments based on CMS guidelines.

Coordinates, records, updates, and monitors all minimum date sets.

Participates in clinical meetings.

Coordinates in patient/family care conferences for skilled residents/patients.

Collects and reports data on topics such as resident encounters and inter-institutional problems, making recommendations for change when appropriate.

Coordinates communication between residents, family members, medical staff, administrative staff, & payor source.

Coordinate the timely development and completion of resident assessment (MDS).

Understands and applies MDS/PPS rules using the Utilization Guidelines for every assessment.

Coordinates the timely development of a written plan of care for each resident, including measurable objectives.

Understands the financial concepts and implications of RUG IV, PPS, and state case mix.

Ensures all MDS assessments and RUGs are accurate, completed, encoded, edited, printed, and exported per state and federal requirements.

Assists with staff education for supportive documentation, to include but not limited to, late loss ADLs.

Reviews quality metrics in coordination with clinical leadership to monitor trends for quality assurance process improvement action planning.

Monitors quality reporting program data to validate accuracy and ability to avoid payment rate penalties.

Ensures punctuality and regular attendance for assigned shifts.

Other Functions

Performs other tasks as assigned.

Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, applicable federal and state laws, and applicable professional standards.

Knowledge/Skills/Abilities

Knowledge of CMS guidelines for MDS.

Demonstrated ability to implement the programs, goals, objectives, policies, and procedures of the Nursing department.

Knowledge of nursing practices and procedures as well as the laws, regulations, and guidelines governing nursing functions in the long-term care facility.

Possess leadership ability and willingness to work harmoniously with and supervise professional and non-professional personnel.

Must have CPR certification upon hire or obtained quickly upon hire. CPR certification must remain current during employment.

Excellent written and verbal communication skills and the ability to multitask and oversee functions at the facility on a daily basis.

Requirements

Education

Graduate of a RN program.

Licenses/Certification

Must have an active State issued RN license.

Experience

Six months experience in a long term care environment preferred.