MDS Healthcare Coordinator

Visiting Nurse Health System Inc•Atlanta, GA

6h•$20 - $30•Onsite

About The Position

Visiting Nurse Health System is hiring an MDS Healthcare Coordinator for the Community Care Services Program (CCSP). This office-based clinical position coordinates care for a caseload of patients and helps ensure care meets quality standards and utilization guidelines. The coordinator reviews admission documentation before submitting client assessment data and supplemental medical records through the Georgia Medical Care Foundation (GMCF) online portal, and enters client data into the portal daily. The role provides clinical documentation guidance, education, and training to clinicians and CCSP leadership, including support related to quality issues, denial reasons, and documentation standards. It also communicates with other waiver programs about client status and services, tracks denials and appeals using Excel, and collaborates with the Level of Care Coordinator to obtain signed Levels of Care from primary care physicians before expiration. Although the position is primarily office-based, field visits may be required to determine whether clients meet the level-of-care requirements for CCSP. The schedule is Monday through Friday, 8 a.m. to 5 p.m., at the Hartsfield office in Atlanta, Georgia. The role reviews clinical records, identifies and follows up on needed corrections, supports staff performance and compliance, maintains knowledge of GMCF requirements and Medicare and Medicaid regulations, and contributes to performance improvement and process changes.

Requirements

Graduation from an accredited nursing program; Diploma, Associate degree, or BSN required.
Current licensure by the Georgia State Board of Nursing.
Valid CPR certification.
Valid driver’s license, reliable transportation, and current auto insurance.
One to two years of recent nursing experience.
Advanced clinical nursing skills and comfort collaborating with interdisciplinary teams.
Proven decision-making, time-management, and interpersonal skills, with the ability to function independently in a home environment.
Proficiency with computers and basic technology for documentation, email, HR systems, and online training.

Nice To Haves

Experience in home health, long-term care, and/or MDS is preferred.

Responsibilities

Coordinate care for a caseload of patients in accordance with quality standards and utilization guidelines.
Review admission documentation and submit client assessment data and supplemental medical records to the GMCF online portal.
Enter client data into the GMCF online portal daily.
Review admission records, comprehensive assessments, and visit notes.
Identify required corrections to client records and work with clinicians to ensure corrections are completed accurately and within 24 hours of the request.
Educate and train clinicians on clinical documentation requirements.
Assist clinician supervisors in validating staff performance and compliance with clinical policies and procedures.
Provide feedback to supervisors and CCSP leadership regarding clinicians who do not comply with correction procedures.
Track clinical review results and recommend clinician performance improvements to the clinician’s manager.
Develop staff toward independent functioning and progressively counsel staff who do not comply with VNHS policies and practices.
Participate in performance improvement processes with management and demonstrate effective time management.
Maintain knowledge of GMCF requirements and promote compliance with them.
Apply knowledge of Medicare and Medicaid regulations and standards of care.
Suggest process or system improvements to the supervisor and implement changes as directed.
Communicate with other waiver programs as needed to update them on client status and current waiver services.
Track denials and appeals in an Excel spreadsheet and communicate updates to appropriate staff.
Collaborate with the Level of Care Coordinator to contact clients’ primary care physicians and obtain signed Levels of Care before they expire.
Make field visits when required to determine whether clients meet CCSP level-of-care requirements.