MDS Nurse Traveler (74052)

PRIORITY MANAGEMENT•Dallas, TX

28d

About The Position

The MDS Nurse Traveler supports facility teams across Region 3 in the Ruston, Sterlington, Farmerville, and Monroe area by coordinating and supporting the Resident Assessment Instrument (RAI) process in accordance with federal, state, and certification guidelines. The role involves completing and coordinating assessments, documentation, care planning, reimbursement processes, and regulatory compliance in collaboration with facility staff and interdisciplinary teams. The position requires travel among assigned facilities as scheduled. The nurse works with residents and families respectfully, protects confidentiality and privacy, and maintains effective working relationships with facility departments and external referral contacts. For the Texas region only, the role also manages the Texas Medicaid reimbursement process through Simple LTC, including LTCMI, MESAV, and PASRR.

Requirements

Graduate of an accredited school of nursing.
Current RN or LPN license in the state of employment.
Maintain current licensure as a Registered Nurse or Licensed Practical Nurse.
Demonstrated experience in geriatric nursing and long-term care.
Demonstrate knowledge of the Federal Medicare PPS process and State Medicaid reimbursement, as required.
Demonstrate understanding of Quality Measure processes.
Demonstrate an attitude focused on providing a high degree of patient satisfaction and service.
Demonstrate experience working collaboratively with community members, residents, families, and coworkers.

Nice To Haves

At least two years of nursing experience in a Skilled Nursing Facility as an MDS nurse is preferred.
Experience with nursing documentation, MDS coding, and case management is preferred.

Responsibilities

Support assigned centers and demonstrate competency in applicable MDS coordination duties.
Apply knowledge of federal, state, and local regulations and legislation.
Coordinate and support the MDS, RUGs, triggers, Care Area Assessments, plans of care, discharge plans, and related documentation requirements.
Participate in regulatory or certification surveys and assist with correction of deficiencies.
Follow up on trends identified through completed audits and report them to the Regional Clinical Reimbursement Specialist.
Initiate and monitor RAI process tracking, discharge/reentry forms, and Medicaid tracking forms through the AHT LTC system.
Follow up with staff as needed to support compliance with documentation standards.
Complete patient assessments, collect data, and interview staff as necessary in accordance with the current MDS User’s Manual.
Determine Assessment Reference Dates that reflect patient care needs and resources utilized for appropriate Medicare, Medicaid, and insurance payment.
Submit MDSs to the State on time, follow up on validation errors, and maintain submission validation records systematically.
Coordinate with discharge planners and staff at referring facilities, agencies, and hospitals to pre-screen potential admissions and readmissions as directed by the supervisor.
Assist with or perform assessments for new admissions, pre-admissions, and readmissions using data collection and recording.
Verify that MDS items and tracking records are complete and attest to completion with a signature.
Collaborate with the interdisciplinary team on pre-admission screening, observation and look-back periods, MDS completion, and significant-change MDS and plan-of-care processes.
Collect data for MDS assessments and reassessments according to the required schedule, unless assigned to other clinical disciplines.
Assist with developing and revising plans of care in collaboration with the interdisciplinary team, based on patient response and treatment effectiveness.
Remain flexible and organized and function effectively under stressful situations.
Treat patients and families with respect and dignity and protect patient confidentiality and privacy.
Maintain positive working relationships with facility departments and contacts at referring facilities and agencies.
For the Texas region only, manage the Texas Medicaid reimbursement process through Simple LTC, including LTCMI, MESAV, and PASRR.