MDS Nurse - RN

Ohio Living•Sewickley Heights, PA

3d•Onsite

About The Position

The MDS Nurse - RN provides necessary and accurate documentation for resident and patient assessments and care plans in accordance with company standards and federal, state, and local standards, guidelines, and regulations while serving as a team member or team leader of the interdisciplinary team. Essential Activities and Tasks Operations Management - 60% Oversees the RAI process and submission process by validating and monitoring reports (EHDS). Plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care. Oversees and completes the computer data entry and electronic submission process for MDS transmission (EHDS). Oversees Medicare and managed care logs, directing decision-making regarding insurance coverage, cut dates, and MDS schedules. Oversees skilled resident and patient statuses to maximize reimbursement. Oversees Medicaid resident statuses to maximize case mix scores. Participates in care conferences. Remains available during surveys and audits of the facility and/or the facility’s documentation. Assists with insurance appeals by reviewing documentation coded on MDS and verifying for consistency. Attends all-employee and departmental meetings and in-service training as scheduled or as directed. Quality, Compliance, and Risk Management - 20% Ensures accurate and timely MDS, CAA, and Plan of Care documentation from the interdisciplinary team. Provides final review of MDS and Plan of Care documentation of all disciplines offering education and advice as necessary and provides authorization. Maintains and communicates schedule of MDS and Plan of Care due dates. Keeps up to date on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement issues. Attends committee meetings as requested. Administration and Reporting - 20% Maximizes reimbursement through team education, planning, accurate and timely MDS assessments. Assists with reviewing and addressing issues with quality measures, survey findings, quality assurance findings, and other findings and/or survey results as assigned. All other duties as assigned

Requirements

Nursing degree from an accredited college, university or vocational school required.
Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required.
Two years experience as a nurse in a long-term care facility required.
Experience in rehabilitative and restorative nursing practices required.
Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care with special emphasis placed on documentation.
Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
Proficiency with electronic medical records (EMR) systems required.
Must be able to read, write, speak, and understand the English language.

Nice To Haves

Two years experience with MDS preferred.

Responsibilities

Oversees the RAI process and submission process by validating and monitoring reports (EHDS).
Plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care.
Oversees and completes the computer data entry and electronic submission process for MDS transmission (EHDS).
Oversees Medicare and managed care logs, directing decision-making regarding insurance coverage, cut dates, and MDS schedules.
Oversees skilled resident and patient statuses to maximize reimbursement.
Oversees Medicaid resident statuses to maximize case mix scores.
Participates in care conferences.
Remains available during surveys and audits of the facility and/or the facility’s documentation.
Assists with insurance appeals by reviewing documentation coded on MDS and verifying for consistency.
Attends all-employee and departmental meetings and in-service training as scheduled or as directed.
Ensures accurate and timely MDS, CAA, and Plan of Care documentation from the interdisciplinary team.
Provides final review of MDS and Plan of Care documentation of all disciplines offering education and advice as necessary and provides authorization.
Maintains and communicates schedule of MDS and Plan of Care due dates.
Keeps up to date on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement issues.
Attends committee meetings as requested.
Maximizes reimbursement through team education, planning, accurate and timely MDS assessments.
Assists with reviewing and addressing issues with quality measures, survey findings, quality assurance findings, and other findings and/or survey results as assigned.