Mds-Lvn

Caraday Healthcare•Austin, TX

About The Position

The MDS-LVN assists the Director of Nursing with ensuring that center documentation meets federal, state, and certification guidelines. The position coordinates the Resident Assessment Instrument (RAI) process to ensure timely and complete Minimum Data Set (MDS) assessments, Care Area Assessments (CAAs), and interdisciplinary care plans. The MDS-LVN supports regulatory compliance, accurate resident assessment and reimbursement, and appropriate documentation of care.

Requirements

Current LVN license.
CPR certification is required; a course must be completed and certification obtained within 30 days.
Excellent knowledge of the RAI process, federal Medicare PPS process, and Medicaid reimbursement as required.
Thorough understanding of the Quality Indicator process.
Knowledge of OBRA regulations and the Minimum Data Set.
Knowledge of the care-plan process.
Ability to safely push, pull, lift, bend, kneel, and reach while handling up to 50 pounds, with or without reasonable accommodations.

Nice To Haves

Two years of nursing experience in long-term care or skilled nursing.

Responsibilities

Assist the facility in adhering to federal and state regulations and certification requirements.
Participate in regulatory or certification surveys and the correction of deficiencies.
Report audit trends to the Quality Assurance Committee.
Coordinate the RAI process from the MDS through completion of the plan of care.
Initiate and monitor RAI process tracking, discharge/re-entry, and Medicaid tracking forms using PCC and SimpleLTC systems.
Follow up with staff as needed to ensure documentation standards are met.
Collect resident data and interview staff and residents as needed, following current MDS user manual guidance.
Facilitate accurate determination of the Assessment Reference Date to reflect care needs and resources used for Medicare, Medicaid, and insurance payment.
Provide interdisciplinary schedules for MDS assessments and care plans required by OBRA and PPS.
Ensure required signatures are obtained.
Ensure the interdisciplinary team makes decisions about additional MDS assessments based on clinical criteria in the RAI manual.
Respond appropriately to changes in resident conditions.
Coordinate care-planning conference notices and communicate outcomes or problems to responsible staff, residents, and/or responsible parties.
Ensure MDS information and care delivered, as outlined in the care plan, are supported by documentation.
Assist the Administrator and Director of Nursing in monitoring that every patient has a care plan initiated upon admission.
Participate in daily interdisciplinary team meetings and communicate needs related to PPS changes, Assessment Reference Dates, and deficiencies in MDS, CAA, and care-plan completion.
Relay or act on information from Clinical Reimbursement Specialist audits.
Serve as a resource for computer issues related to the MDS process and contact the help desk when indicated.
Maintain proficiency in software programs.
Ensure appropriate Medicare coverage through regular communication with the Clinical Reimbursement Specialist.
Sequence appropriate diagnosis coding for residents.
Correct and complete final MDS assessments and submit resident assessment data to state and federal agencies on time.
Assign, assist, and instruct staff in the RAI process, PPS Medicare, Medicaid case mix as required, and related clinical computer systems.
Ensure timely MDS submissions to the state, follow up on validation errors, and maintain orderly validation records.
Maintain confidentiality of necessary information and stay current on industry changes.
Assist with OIG reviews, ADRs, and RAC audits as needed.
Coordinate the monthly Triple Check meeting for medical billing compliance.
Complete LTCMI timely on the TMHP portal and communicate payer changes to the BOM to help prevent loss of Medicaid payment.
Understand and adhere to Residents’ Rights guidelines and assure resident safety.