MDS COORDINATOR - RN or LVN - Magnolia Manor

Magnolia Manor • Groves, TX

402d

About The Position

The MDS Coordinator position is responsible for ensuring appropriate reimbursement for Medicare and Medicaid patients through the Patient Assessment Instrument (RAI) process. This role involves managing quality patient care in compliance with federal and state standards, as directed by the Administrator or Director of Nursing.

Requirements

• A current, valid Texas nursing license (RN or LVN) is required.
• At least 2 years of long-term care (LTC) experience preferred.
• Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
• Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
• Ability to effectively communicate, direct, and delegate tasks.
• Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, nursing/patient progress notes, and nursing procedures.
• Ability to effectively present information and respond to questions from department heads, customers, and the public.

Responsibilities

• Maintain compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
• Participate in the assessment of pre-admission paperwork to ensure patients meet qualifying medical necessity determination.
• Attend standup meetings every weekday morning.
• Coordinate the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
• Audit the Clinical Record to ensure appropriate documentation for actual care delivery.
• Educate and train staff on documentation guidelines.
• Obtain Medicare qualifying diagnosis(es) on Medicare Part A patients and update diagnosis for each change in diagnosis.
• Initiate and update the physician certifications for each Medicare Part A patient.
• Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid patient.
• Review the 24-hour Nursing report to capture possible change in condition of a patient.
• Prepare for all Medicaid audits.
• Track patient benefit days, validate daily census, and coordinate information with Financial Manager to ensure accurate billing.
• Achieve at least budgeted rates expectation.
• Review Cantex Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and enforce employee responsibilities.
• Support and uphold the Patient Care Management Systems as well as the Financial Management Systems.
• Assure patient/resident safety.
• Perform other duties and/or tasks as assigned.

Benefits

• 401K with match
• CEU reimbursement
• Vacation
• Sick leave
• Holidays
• Medical insurance
• Dental insurance
• Supplemental insurance plans
• Highly competitive compensation package

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Rental and Leasing Services
• Education Level: No Education Listed