MDS Nurse Traveler

PRIORITY MANAGEMENT•Dallas, TX

1d•Hybrid

About The Position

We are looking for a friendly, passionate and experienced MDS Coordinator who can travel as scheduled to support our facility teams with the MDS Coordinator role of coordinating and supporting the RAI process in accordance with our Federal, State, and Certification guidelines.

Requirements

Must be a graduate of an accredited school of nursing currently registered with the state agency for nursing licensure and hold a valid RN or LPN License in the state employed.
Maintain current licensure as a Registered Nurse or Licensed Practical Nurse.
Demonstrates experience in geriatric nursing and long term care.
Excellent knowledge of the Federal Medicare PPS process and State Medicaid reimbursement, as required.
Demonstrates understanding of the Quality Measure processes.
Demonstrates an attitude for providing a high degree of patient satisfaction and services.
Demonstrates experience working in a positive collaborative relationship with members of the community, residents, families, and co-workers

Nice To Haves

Minimum of 2 years of nursing experience in a Skilled Nursing Facility as MDS nurse preferred.
Experience with nursing documentation, Minimum Data Set (MDS) coding, and Case Management experience preferred.

Responsibilities

Assist assigned centers and demonstrated competency in the following area: Knowledgeable of federal, state, and local government regulations and legislation.
Knowledge and assistance of the Minimum Data Set (MDS), Resource Utilization Groups (RUG’s), Triggers, Care Area Assessments (CAA’s), Plan of Care, Discharge Plan and documentation requirements per regulations and legislation.
Participation in the regulatory or certification survey process and the correction of deficiencies
Reports and assists to follow up on noted trends from completed audits to the Regional Clinical Reimbursement Specialist
Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the AHT LTC system.
Follows up with staff when necessary to assure compliance to standards of documentation.
Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual.
Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
Ensures timely submission of the MDSs to the State with proper follow-up on validation errors.
Maintains validation records from the submission process in a systematic and orderly fashion.
Interacts with discharge planners and staff from referring facilities, agencies and hospitals to pre-screen potential patients for admission and readmission to the facility as directed by supervisor.
Assists/Performs assessments with new admissions, pre-admissions, and readmissions utilizing data collection and recording.
Verifies that all items on MDS’s or tracking records are complete and attests to completion with signature.
Manages and collaborates with IDT on pre-admission screening, assignment of observation and look-back periods for the MDS completion including the implementation of a “significant change” MDS/plan of care processes.
Performs data collection for the MDS process on all patients and reassessments as per the MDS scheduled requirements unless these are assigned to other clinical disciplines for completion.
Assists in development and revision of plan of care as indicated by the patient’s response to treatment and the effectiveness of the overall plan of care in collaboration with the interdisciplinary team.
Demonstrates an ability to be flexible, organized, and functions under stressful situations.
Treats patients and their families with respect and dignity; ensures patient confidentiality and privacy.
Maintains a good working relationship both with all departments and with contacts from referring facilities and agencies.
Management of TX Medicaid Reimbursement Process through Simple LTC (LTCMI, MESAV, PASRR)