MDS Coordinator RN

PACS

1d•Onsite

About The Position

The MDS Coordinator RN administers patient assessments and oversees the assessment process, including scheduling and ensuring assessments are completed accurately and on time. The role coordinates resident care plans in accordance with regulatory requirements and supports Medicare and Medicaid processes, including scheduling, initiating coverage for newly qualified patients, issuing denial letters, staying current on coverage changes, and identifying documentation needed for Medicaid reimbursement. This position performs administrative, clinical, documentation, medication, personnel, care-planning, staff-development, safety, sanitation, equipment, and supply functions in a long-term care facility. It provides direction and support to nursing personnel, coordinates nursing services with other departments and resident services, helps maintain regulatory compliance and quality assurance, and ensures that resident care is consistent with care plans, policies, and applicable standards. The employee works in office areas and throughout nursing service areas, including drug rooms, nurses’ stations, and resident rooms. Work may involve frequent interruptions, emotionally upset or hostile individuals, exposure to infectious waste and diseases, hazardous chemicals, and other workplace hazards. The position may require work beyond normal hours, temporary work in other positions, and call-back during emergencies.

Requirements

Nursing degree from an accredited college or university, or graduation from an approved LPN/LVN program.
Current, unencumbered, active license to practice as an LPN/LVN in the state.
Current CPR certification.
Ability to read, write, speak, and understand English; read technical procedures and policy and procedure manuals; present information effectively; respond to questions; and communicate information about residents’ conditions.
Ability to apply fractions, percentages, ratios, and proportions to practical situations.
Knowledge and skills necessary to provide care appropriate to the age-related needs of residents.
Ability to work as a supportive team member and contribute to teamwork.
Ability to make independent decisions when circumstances warrant.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies, and the public.
Knowledge of nursing and medical practices and procedures, and of laws, regulations, and guidelines applicable to nursing care facilities.
Leadership and supervisory ability, willingness to work harmoniously with and supervise other personnel, and ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures.
Patience, tact, a cheerful disposition, enthusiasm, and willingness to handle difficult residents and incorporate new methods and principles into nursing practices.
Must not pose a direct threat to the health or safety of others in the workplace.
Maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
Ability to move intermittently throughout the workday; speak and write understandably; cope with mental and emotional stress; and see and hear adequately, with prosthetics if needed.
Ability to function independently and work effectively with residents, personnel, and support agencies; meet facility general health requirements, including medical and physical examinations; and work with ill, disabled, elderly, emotionally upset, and sometimes hostile people.
Ability to push, pull, move, or lift at least 25 pounds to a height of at least 5 feet and carry or move that weight at least 50 feet.
May need to assist with evacuating residents during emergencies.

Nice To Haves

Knowledge and experience with PCC preferred.

Responsibilities

Administer patient assessments; oversee the assessment process, set assessment schedules, and ensure assessments are accurate and timely.
Coordinate resident care plans in accordance with regulatory requirements and assist the Resident Assessment/Care Plan Coordinator with planning, scheduling, and revising the MDS, including RAPs and Triggers.
Create Medicare and Medicaid schedules, initiate Medicare coverage for newly qualified patients, send denial letters, stay updated on Medicare coverage changes, and help determine documents needed for Medicaid reimbursement.
Direct day-to-day functions of nursing assistants and ensure nursing personnel comply with facility policies, procedures, job descriptions, and applicable rules and guidelines.
Review nursing department policies, procedures, manuals, and job descriptions and recommend revisions; help keep the Nursing Service Procedures Manual current and ensure procedures are followed.
Plan shift services, programs, and activities with assigned nursing and support personnel; make written and oral reports and recommendations concerning shift activities.
Coordinate nursing services with other resident services and participate in quality assurance, facility surveys, and resident discharge planning.
Admit, transfer, and discharge residents; complete required administrative forms, reports, evaluations, studies, charting, census reports, charge slips, and accident/incident reports.
Protect resident and facility information, safeguard user credentials, and report suspected privacy violations, unauthorized system access, or fraud.
Complete and file required resident records at admission, transfer, and discharge; transcribe physician orders and document nursing care, resident responses, accidents, incidents, diet changes, and other required information.
Prepare and administer medications as ordered; verify resident identity; maintain medication supplies and accurate narcotic records; review medication cards and orders; report discrepancies and dispose of medications according to procedures.
Participate in performance evaluations, staffing decisions, work assignments, employee supervision, and recommendations concerning staffing or personnel actions.
Provide leadership to nursing personnel, make daily rounds, monitor work against nursing standards, address problem areas, and maintain cooperative relationships with facility personnel, residents, and visitors.
Orient residents and families, coordinate new admissions and room readiness, collaborate with physicians, arrange diagnostic and therapeutic services, monitor residents, provide nursing treatments, and notify physicians and next of kin of relevant changes or incidents.
Carry out restorative and rehabilitative programs, monitor resident care against care plans and resident wishes, and ensure residents unable to call for help are checked frequently.
Participate in developing, scheduling, and delivering in-service training; orient new employees; train personnel on job procedures and exposure risks; and attend required facility and continuing education programs.
Monitor safety, sanitation, infection control, hand hygiene, personal protective equipment use, fire and disaster drills, and safe operation of nursing equipment.
Recommend and monitor unit equipment and supply needs, maintain adequate stock, ensure equipment is operated only by trained personnel, prevent waste, and ensure required safety data sheets are available.
Provide data to the Quality Assurance & Assessment Committee as requested and report suspected fraud involving false billings, cost reports, kickbacks, or other matters.
Work beyond normal hours or temporarily in other positions when necessary, and respond to call-back during emergency conditions.