MDS Nurse LVN/RN at Orange

Focused Post Acute Care Partners•West Orange, TX

3d•Onsite

About The Position

Focused Post Acute Care Partners is seeking an MDS Coordinator (LVN or RN) for Focused Care at Orange in Orange, Texas. The role assists the Director of Nursing in ensuring center documentation meets federal, state, and certification guidelines, and coordinates the RAI process to ensure timely and complete MDS assessments, CAAs, and interdisciplinary care plans. The MDS Coordinator supports resident safety, regulatory compliance, accurate reimbursement, and communication among the interdisciplinary team, residents, and responsible parties. The role also uses electronic medical record software and performs other duties as assigned.

Requirements

Must hold a current LVN license.
Minimum of two years of nursing experience in a skilled nursing facility is preferred.
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 and the Minimum Data Set.
Knowledge of the care plan process.
Ability to safely push, pull, lift, bend, kneel, and reach, and lift up to 50 pounds, with or without reasonable accommodations.

Nice To Haves

At least two years of nursing experience in a skilled nursing facility.

Responsibilities

Support resident safety and adherence to federal and state regulations and certification requirements.
Participate in regulatory or certification surveys and correction of deficiencies.
Report audit trends to the Quality Assurance Committee.
Coordinate the RAI process from MDS assessment through completion of the plan of care.
Initiate and monitor RAI tracking, discharge/re-entry, and Medicaid tracking forms through the AHT system.
Follow up with staff as needed to ensure documentation standards are met.
Collect resident data and interview staff and residents as needed, following the MDS 3.0 User Manual.
Determine Assessment Reference Dates that reflect resident care needs and resources used for appropriate payment.
Create interdisciplinary schedules for MDS assessments and care plans required by OBRA and PPS.
Obtain required signatures and maintain staff signature logs.
Ensure the interdisciplinary team decides whether additional MDS assessments are needed based on RAI manual clinical criteria.
Respond appropriately to changes in resident condition and coordinate care-planning conference notices and communication of outcomes or problems.
Ensure MDS information and care delivered under 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 PPS schedule changes, Assessment Reference Date issues, and MDS, CAA, or Care Plan deficiencies.
Relay or act on information from Clinical Reimbursement Specialist audits.
Support MDS-related computer issues, contact the help desk when indicated, and maintain proficiency in software programs.
Communicate regularly with the Clinical Reimbursement Specialist to support appropriate Medicare coverage.
Sequence appropriate resident diagnosis coding.
Correct and complete final MDS assessments and submit resident assessment data to state and federal agencies on time.
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 organized validation records.
Maintain confidentiality and keep assessments on the active clinical record for at least 15 months.
Stay current with industry changes.
Assist with OTG reviews, ADRs, and RAC audits 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 help prevent loss of Medicaid payment.
Use the PointClickCare electronic medical record for charting.
Perform other duties as assigned.