MDS Coordinator (RN) - Ojai Health and Rehabilitation

PACS•Ojai, CA
•$110,000 - $120,000

About The Position

The MDS Coordinator oversees resident assessments and assessment schedules, ensures assessments are accurate and timely, and coordinates care plans in accordance with regulatory requirements. The role manages Medicare and Medicaid scheduling and related documentation, including initiating Medicare coverage for newly qualified residents, issuing denial letters, staying current on Medicare coverage changes, and helping determine documentation needed for Medicaid reimbursement. The position also carries broad nursing-service responsibilities in a long-term care facility. These include coordinating and documenting resident care; supporting admissions, transfers, and discharges; administering medications and treatments; supervising nursing personnel; maintaining staffing, safety, sanitation, infection-control, and equipment practices; and contributing to quality assurance, staff development, discharge planning, and regulatory surveys. The coordinator works with residents, families, physicians, facility staff, and government agencies to support residents’ care and facility operations. The posting’s qualification section specifies an accredited nursing degree or graduation from an approved LPN/LVN program and a current, unencumbered state LPN/LVN license. It also requires current CPR certification and ongoing required continuing education and licensure. Knowledge and experience with PCC are preferred. The role involves movement throughout the workday, resident-care areas, frequent interruptions, exposure to infectious materials and other workplace hazards, and possible work beyond normal hours or emergency call-back.

Requirements

  • Possess a nursing degree from an accredited college or university, or graduate from an approved LPN/LVN program.
  • Possess a current, unencumbered, active license to practice as an LPN/LVN in the state.
  • Hold current CPR certification.
  • Maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
  • Read, write, speak, and understand English; read technical procedures and policy and procedure manuals; and communicate information about residents’ conditions.
  • Apply mathematical concepts including fractions, percentages, ratios, and proportions to practical situations.
  • Demonstrate knowledge and skills necessary to provide care appropriate to residents’ age-related needs.
  • Demonstrate teamwork, independent decision-making, tact, leadership, and supervisory ability; work harmoniously with personnel and residents.
  • Know nursing and medical practices and procedures, and laws, regulations, and guidelines applicable to nursing care facilities.
  • Plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures needed to provide quality care.
  • Handle difficult resident situations with patience, tact, cheerfulness, and enthusiasm, and be willing to incorporate new methods and principles into nursing practices.
  • Meet facility general health requirements, including medical and physical examination requirements.
  • Move intermittently throughout the workday and be able to push, pull, move, or lift at least 25 pounds to a height of 5 feet and carry or move that weight at least 50 feet.
  • Be able to see and hear adequately, with prosthetics if needed, and communicate in understandable English.
  • Be able to cope with mental and emotional stress and work effectively with residents, personnel, and support agencies, including people who may be ill, disabled, elderly, emotionally upset, or hostile.
  • May need to assist with resident evacuation during emergencies.

Nice To Haves

  • Knowledge and experience with PCC preferred.

Responsibilities

  • Administer resident assessments, oversee the assessment process, set assessment schedules, and ensure assessments are accurate and timely.
  • Coordinate resident care plans according to regulatory requirements and assist with planning, scheduling, and revising MDS assessments, including RAPs and Triggers.
  • Create Medicare and Medicaid schedules; initiate Medicare coverage for newly qualified residents or send denial letters; stay current on Medicare coverage and support Medicaid reimbursement documentation.
  • Direct and coordinate day-to-day nursing functions and ensure personnel comply with facility policies, procedures, job descriptions, and nursing standards.
  • Review nursing policies, manuals, procedures, and job descriptions and recommend revisions; maintain the Nursing Service Procedures Manual.
  • Prepare and submit reports, recommendations, census information, charge slips, and administrative records as required.
  • Coordinate nursing services with other resident services and participate in quality assurance, facility surveys, discharge planning, and development of nursing-service programs.
  • Complete and maintain resident records and documentation for admissions, transfers, discharges, orders, treatments, care, accidents, and incidents.
  • Prepare and administer prescribed medications and treatments; maintain medication and supply availability, medication records, and narcotic documentation; report discrepancies.
  • Help determine staffing requirements, develop work assignments, provide leadership, make rounds, evaluate personnel performance, and report staffing or performance concerns.
  • Support nursing care, including resident admissions and orientation, physician coordination, monitoring resident conditions, implementing care plans, and notifying physicians and families of significant changes or incidents.
  • Participate in staff orientation, in-service training, continuing education, and training related to nursing practices and safety.
  • Monitor and support safe work practices, sanitation, infection control, hand hygiene, use of protective equipment, and emergency preparedness.
  • Recommend and monitor nursing equipment and supply needs; ensure equipment is used safely and only by trained, authorized personnel.
  • Provide data to the Quality Assurance & Assessment Committee and report suspected or known fraud.
  • Protect resident and facility information, maintain confidentiality, and report suspected security or privacy violations.
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