MDS Nurse RN - Kent Crossing

Optalis•Grand Rapids, MI
•Onsite

About The Position

The MDS Nurse RN is responsible for the coordination of the Resident Assessment Instrument (RAI), including the electronic transmission of RAI data to the state Bulletin Board in accordance with State and Federal regulations and facility policies. This role also facilitates communication between the Interdisciplinary Team and provides ongoing education to those preparing the M.D.S.

Requirements

  • Registered Nurse (RN) license
  • Proficiency in Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) processes
  • Knowledge of State and Federal regulations regarding RAI data transmission
  • Experience facilitating communication within an Interdisciplinary Team
  • Ability to educate staff on M.D.S. preparation
  • Skills in scheduling and coordinating assessments
  • Experience with data input into RAI computer systems
  • Ability to screen MDS for accuracy
  • Experience transmitting RAI data to the state
  • Familiarity with tracking Validation Reports and state reports
  • Experience with Medicare review and coverage evaluation
  • Ability to perform chart audits
  • Knowledge of Medicare coverage criteria
  • Familiarity with RAI/MDS software and vendor communication
  • Ability to clarify Medicare Certification/Re-Certification forms
  • Experience with Resident Roster and Census and Condition Reports
  • Experience working with state RAI/MDS automation coordinators
  • Coordination skills with billing departments
  • Proficiency in using the Internet for research
  • Liaison skills

Responsibilities

  • Coordinate the Resident Assessment Instrument (RAI) and electronically transmit RAI data to the state.
  • Facilitate communication between the Interdisciplinary Team.
  • Provide ongoing education to staff preparing the M.D.S.
  • Schedule and ensure completion of RAI according to State and Federal guidelines.
  • Notify Interdisciplinary Team members of assessment schedules.
  • Assist in the completion of RAI and data input into the RAI computer system.
  • Supervise the completion of the RAI by the Interdisciplinary Team.
  • Modify assessment schedules to ensure appropriate RUG scores.
  • Screen each Minimum Data Set (MDS) for accuracy before finalizing, locking, and signing.
  • Transmit RAI data to the state weekly or as needed.
  • Track Validation Reports, Monthly and Quarterly Reports from the state.
  • Actively participate in daily conferences with the Interdisciplinary Team to evaluate resident status and needs related to Medicare skilled coverage and potential RUG category changes.
  • Assist Interdisciplinary staff with Medicare review via chart audit to ensure appropriate RAI initiation, documentation reflects care needs, and Medicare coverage is discontinued when criteria are not met.
  • Ensure RAI/MDS software is functioning properly and is updated with the most current version.
  • Clarify Medicare Certification/Re-Certification forms and assist with the completion and maintenance of the Resident Roster and Census and Condition Reports.
  • Work closely with the state RAI/MDS automation coordinator.
  • Coordinate with the billing department on assessment schedules and billing assessment codes.
  • Utilize the Internet for research on changes in the RAI and Medicare process.
  • Act as a liaison to the Interdisciplinary Team.
  • Perform other duties incidental to the position as delegated by the Director of Nursing.
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