Mds Care Plan Coordinator

Helia Healthcare•Olney, IL

1d•Onsite

About The Position

The overall purpose of the MDS Care Plan Coordinator is to manage the integrity of the facility’s RAI and Medicare processes. This includes assuring that residents receiving Medicare services qualify for those services, that all documentation required to support continuing stay is completed, that MDS/PPS assessments are completed timely and accurately according to regulations and that skilled nursing care is provided on a continuing basis.

Requirements

A current, valid State Nurse license is required.
Functional literacy in English is required.
No disqualifying criminal offenses as defined by regulatory guidelines.
Proficiency in computer use/data entry.

Nice To Haves

Education/and or experience in long-term care, acute care, or geriatric nursing preferred.
MDS/RAI experience highly preferred.

Responsibilities

Obtain and maintain timely physician certifications for each Medicare resident.
Coordinate preparation of MDS and Care Plans as per regulatory requirements.
Update care plans as needed or indicated.
Maintain MDS Care plan schedule for interdisciplinary team.
Invite families and/or residents to participate in care plan meetings.
Assist residents to care plan meetings.
Assure daily documentation of assessment for each Medicare resident daily.
Verify daily Medicare documentation is appropriate and meets Medicare coverage guidelines.
Track Medicare resident benefit days and validate daily Medicare census and coordinate this information with the Business Office Manager to assure accurate billing.
Coordinate weekly Medicare meeting with Interdisciplinary Team.
In cooperation with the Social Service Director, keep responsible parties/residents abreast of continuing or ending Medicare coverage.
Complete responses to requests for additional information from the intermediary and appeals decisions, when necessary, within established time frames.
Assure preparation of Medicare denial letters for each resident discharged from Medicare coverage within time limits imposed by Medicare guidelines.
Participate in the ongoing evaluation of documentation required for Medicaid reimbursement.
Monitor the appropriate MDS web site for up to date changes.
Submit MDS assessments to E-Health for analysis and corrects as needed.
Transmit assessments per regulatory guidelines to the state repository, receives validation reports, corrects errors, and resubmits as needed.
Monitor compliance with Dart Chart documentation for nursing personnel.
Maintain RUG variance rate of less than 2% as compared to DART Chart System Calculations.
Ability to function as a Team Leader/Role Model
Assure that each resident’s attending physician and family or responsible party is promptly notified of any significant change in the residents’ health conditions.
Is familiar with the Abuse prevention policy and knows responsibility to enforce it.
Assist in the provision of treatments, medications, and nursing services as needed.
Required to be “on call” as needed by the facility.
Participate in ongoing staff education/orientation.
Support Director of Nursing/Assistant Director of Nursing by assuring that nursing staff follow facility policies/procedures.