Caraday Healthcare
MDS-RN
Caraday Healthcare, Lampasas, Texas, United States, 76550
JOB TITLE: MDS-RN
JOB CODE: 28
DEPARTMENT: NURSING
FLSA STATUS: NON-EXEMPT
REPORTS TO: ADMINISTRATOR
JOB SUMMARY: The MDS Coordinator will assist the Director of Nursing with ensuring that documentation in the center meets federal, state and certification guidelines. The MDS-RN will coordinate the RAI process ensuring the timeliness and completeness of the MDS, CAAS and Interdisciplinary Care Plan.
ESSENTIAL FUNCTIONS:
Assist the facility in assuring adherence to federal and state regulations and certificationActively participate in the regulatory or certification survey process and the correction of deficienciesReport trends from completed audits to the Quality Assurance CommitteeEnsure completion of the RAI Process from the MDS through the completion of the plan of careInitiate and monitor RAI process tracking, discharge/re-entry, and Medicaid tracking forms through the PCC & SimpleLTC systemsFollow up with staff when necessary to ensure compliance to standards of documentationCollect data for each resident and interviews staff and residents as necessary to assure good standard of practice and as instructed in the most current MDS user manualFacilitate accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programsProvide interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPSEnsure appropriate signatures are obtained as requiredEnsure that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manualRespond to change in conditions appropriatelyCoordinate scheduling notice of patient care planning conference and ensure communication of outcomes/problems to the responsible staff, patient and/or responsible partyEnsure all MDS information and care delivered as outlined in the Care Plan is supported by documentationAssist the Administrator/Director of Nursing with monitoring to ensure that a care plan is initiated on every patient upon admission to the centerParticipate in the daily Interdisciplinary Team meeting and communicate needs for changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care PlanRelay and/or act upon information from the Clinical Reimbursement Specialist auditsAct as a resource person for computer issues that relate to the MDS process; contact the help desk when indicatedMaintain proficiency in software programsResponsible for ensuring appropriate Medicare coverage through regular communication with Clinical Reimbursement Specialist Sequence appropriate diagnosis coding for residentsCorrect and ensure completion of final MDS and submit resident assessment data to the appropriate state and Federal government agencies in a timely mannerAssign, assist and instruct all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processesEnsure timely submission of the MDS to the state with proper follow up on validation errors; maintains validation records from the submission process in a systematic and orderly fashionMaintain confidentiality of necessary informationRemain proactive with staying current on all industry changesAssist with OIG reviews, ADR's, RAC audits, etc. as needed with professionalismCoordinates monthly Triple Check meeting for Medical billing complianceComplete LTCMI timely on TMHP portal and communicate with BOM regarding payer changes to ensure no loss in Medicaid paymentUnderstand and adhere to the guidelines of "Residents Rights" and assure resident safetyRequirements
QUALIFICATIONS:
Required
Current RN licenseCPR certified required; 30 days will be given to complete a course and get certifiedExcellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as requiredThorough understanding of the Quality Indicator processKnowledge of the OBRA regulations and Minimum Data Set Knowledge of the care plan processPreferred
2 years nursing experience in long term care/skilled nursing
PHYSICAL REQUIREMENTS: The ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, and reaching up to 50 pounds with or without reasonable accommodations
WORK SCHEDULE: As assigned, including some weekends, evenings and holidays
WORK ENVIRONMENT: Clinical
Caraday Healthcare provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other characteristic protected by law.
JOB CODE: 28
DEPARTMENT: NURSING
FLSA STATUS: NON-EXEMPT
REPORTS TO: ADMINISTRATOR
JOB SUMMARY: The MDS Coordinator will assist the Director of Nursing with ensuring that documentation in the center meets federal, state and certification guidelines. The MDS-RN will coordinate the RAI process ensuring the timeliness and completeness of the MDS, CAAS and Interdisciplinary Care Plan.
ESSENTIAL FUNCTIONS:
Assist the facility in assuring adherence to federal and state regulations and certificationActively participate in the regulatory or certification survey process and the correction of deficienciesReport trends from completed audits to the Quality Assurance CommitteeEnsure completion of the RAI Process from the MDS through the completion of the plan of careInitiate and monitor RAI process tracking, discharge/re-entry, and Medicaid tracking forms through the PCC & SimpleLTC systemsFollow up with staff when necessary to ensure compliance to standards of documentationCollect data for each resident and interviews staff and residents as necessary to assure good standard of practice and as instructed in the most current MDS user manualFacilitate accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programsProvide interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPSEnsure appropriate signatures are obtained as requiredEnsure that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manualRespond to change in conditions appropriatelyCoordinate scheduling notice of patient care planning conference and ensure communication of outcomes/problems to the responsible staff, patient and/or responsible partyEnsure all MDS information and care delivered as outlined in the Care Plan is supported by documentationAssist the Administrator/Director of Nursing with monitoring to ensure that a care plan is initiated on every patient upon admission to the centerParticipate in the daily Interdisciplinary Team meeting and communicate needs for changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care PlanRelay and/or act upon information from the Clinical Reimbursement Specialist auditsAct as a resource person for computer issues that relate to the MDS process; contact the help desk when indicatedMaintain proficiency in software programsResponsible for ensuring appropriate Medicare coverage through regular communication with Clinical Reimbursement Specialist Sequence appropriate diagnosis coding for residentsCorrect and ensure completion of final MDS and submit resident assessment data to the appropriate state and Federal government agencies in a timely mannerAssign, assist and instruct all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processesEnsure timely submission of the MDS to the state with proper follow up on validation errors; maintains validation records from the submission process in a systematic and orderly fashionMaintain confidentiality of necessary informationRemain proactive with staying current on all industry changesAssist with OIG reviews, ADR's, RAC audits, etc. as needed with professionalismCoordinates monthly Triple Check meeting for Medical billing complianceComplete LTCMI timely on TMHP portal and communicate with BOM regarding payer changes to ensure no loss in Medicaid paymentUnderstand and adhere to the guidelines of "Residents Rights" and assure resident safetyRequirements
QUALIFICATIONS:
Required
Current RN licenseCPR certified required; 30 days will be given to complete a course and get certifiedExcellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as requiredThorough understanding of the Quality Indicator processKnowledge of the OBRA regulations and Minimum Data Set Knowledge of the care plan processPreferred
2 years nursing experience in long term care/skilled nursing
PHYSICAL REQUIREMENTS: The ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, and reaching up to 50 pounds with or without reasonable accommodations
WORK SCHEDULE: As assigned, including some weekends, evenings and holidays
WORK ENVIRONMENT: Clinical
Caraday Healthcare provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other characteristic protected by law.