MDS Director RN

COMMONWEALTH CARE OF ROANOKESterling, VA
10dOnsite

About The Position

MDS Director related duties:  Workload assignments and caseload management among the centers’ MDS Coordinators.  Ensuring that he/she or designee MDS Coordinator is in attendance at key meetings including but not limited to Morning standup, Clinical & IDT meetings, and QAPI.  Ensuring that MDS’s are opened and ARD’s for assessments are set timely, MDS data encoding is completed timely, care plan reviews are opened and closed timely.  Establishing MDS completion priorities in the center based on billing, regulatory and other pertinent timelines.  In conjunction with the Regional Clinical Reimbursement Specialist and RAI Director, monitoring timeliness and accuracy of MDS and CAA completion by the interdisciplinary team and support and education are provided timely when needs are identified.  Monitoring and implementing reimbursement optimization opportunities within regulatory and compliance guidelines.  With assistance from the corporate Clinical ADR/Medical Review Coordinator, ensuring timely and accurate ICD10 diagnosis coding by the MDS coordinators.  Promptly communicating personnel issues, staff performance, and workload/staffing capacity concerns relative to the RAI process to the Administrator.  Communicate frequently with and coordinate with Regional Clinical Reimbursement Specialists.

Requirements

  • Licensed Registered Nurse (RN) in good standing with the Virginia Department of Health Professions.
  • Must have two years’ experience with the MDS process and/or RAC-CT certification.
  • Good communication skills, able to relate ideas to others.
  • Must be computer literate and be able to use variety of computer applications, and troubleshoot problems with the assistance of corporate IT personnel.
  • Demonstrated excellent organization skills and ability to meet stringent deadlines.
  • Must be flexible, detail-oriented, and be able to make effective decisions and work as part of a service excellence team.

Nice To Haves

  • Previous leadership experience desired.

Responsibilities

  • Workload assignments and caseload management among the centers’ MDS Coordinators.
  • Ensuring that he/she or designee MDS Coordinator is in attendance at key meetings including but not limited to Morning standup, Clinical & IDT meetings, and QAPI.
  • Ensuring that MDS’s are opened and ARD’s for assessments are set timely, MDS data encoding is completed timely, care plan reviews are opened and closed timely.
  • Establishing MDS completion priorities in the center based on billing, regulatory and other pertinent timelines.
  • In conjunction with the Regional Clinical Reimbursement Specialist and RAI Director, monitoring timeliness and accuracy of MDS and CAA completion by the interdisciplinary team and support and education are provided timely when needs are identified.
  • Monitoring and implementing reimbursement optimization opportunities within regulatory and compliance guidelines.
  • With assistance from the corporate Clinical ADR/Medical Review Coordinator, ensuring timely and accurate ICD10 diagnosis coding by the MDS coordinators.
  • Promptly communicating personnel issues, staff performance, and workload/staffing capacity concerns relative to the RAI process to the Administrator.
  • Communicate frequently with and coordinate with Regional Clinical Reimbursement Specialists.
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