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 role coordinates the RAI process to ensure timely and complete MDS, CAAS, and interdisciplinary care plans. The position also supports regulatory compliance, reimbursement processes, care planning, and accurate submission of resident assessment information.

Requirements

Current LVN license.
CPR certification required; 30 days are provided to complete a course and become certified.
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, the Minimum Data Set, and the care plan process.
Ability to safely push, pull, lift, bend, kneel, and reach with 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 help correct deficiencies.
Report trends from completed audits to the Quality Assurance Committee.
Ensure completion of 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 through PCC and SimpleLTC systems.
Follow up with staff as necessary to ensure compliance with documentation standards.
Collect resident data and interview staff and residents as needed to support good practice and current MDS user manual requirements.
Determine the Assessment Reference Date accurately to reflect patient care needs and resources utilized 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 determines whether additional MDS assessments are needed based on clinical criteria in the RAI manual.
Respond appropriately to changes in resident conditions.
Coordinate scheduling and notices for patient care planning conferences, and communicate outcomes or problems to responsible staff, patients, 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 a care plan is initiated for every patient upon admission.
Participate in daily Interdisciplinary Team meetings and communicate needs regarding PPS timeliness, Assessment Reference Dates, and MDS, CAA, and Care Plan completion deficiencies.
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 appropriate state and federal agencies in a timely manner.
Assign, assist, and instruct staff in the RAI process, PPS Medicare, Medicaid case mix as required, and related clinical computer systems.
Submit MDS assessments to the state on time, follow up on validation errors, and maintain validation records systematically.
Maintain confidentiality of necessary information.
Stay current on industry changes.
Assist professionally with OIG reviews, ADRs, RAC audits, and similar activities 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 prevent loss of Medicaid payment.
Understand and adhere to Residents Rights guidelines and assure resident safety.