MDS Nurse (73535)

PRIORITY MANAGEMENTLafayette, LA
$25 - $29Onsite

About The Position

The MDS Nurse is responsible for coordinating and overseeing Minimum Data Set (MDS) assessments for each resident, ensuring all assessments are completed and transmitted within required timeframes. This role involves establishing assessment reference dates (ARDs), initiating assessment openings and closings, and alerting the interdisciplinary team (IDT) as needed. The MDS Nurse will also meet with department supervisors for feedback, participate in the facility compliance program (including utilization review and monthly triple checks for billing accuracy), and review medical records for accurate documentation. Additionally, the position includes conducting pre-admission nursing screenings for Medicare Part A eligibility, developing procedures for new resident notifications, participating in discharge planning, preparing Notices of Medicare Non-Coverage (NOMNC), and ensuring accurate completion of various Medicare-related forms. The MDS Nurse will monitor residents for changes in condition, obtain qualifying diagnoses for Medicare Part A services, contribute to the annual facility assessment, perform administrative duties, and maintain facility policies and procedures related to the Resident Assessment Instrument (RAI)/MDS and care plans. A key responsibility is developing and implementing a Quality Assurance and Performance Improvement (QAPI) program for resident assessments and care plans, monitoring the RAI Manual for updates, and reviewing quality measures reports monthly.

Requirements

  • Must be an LPN or RN
  • LPN (Required)
  • RN (Preferred)
  • Previous MDS experience is preferred.

Nice To Haves

  • RN (Preferred)
  • Previous MDS experience is preferred.

Responsibilities

  • Coordinate and oversee Minimum Data Set (MDS) assessments for each resident utilizing the appropriate forms required by the type of assessment.
  • Ensure that all assessments are completed and transmitted within required timeframes; report problem areas to the Administrator.
  • Establish the assessment reference date (ARD), reason for the assessment, accuracy, timely completion and submission for each assessment.
  • Initiate the opening and closing of assessments and alert the interdisciplinary team (IDT) as needed.
  • Meet with and solicit feedback from department supervisors concerning the resident assessment/care plan functions of the facility.
  • Participation in the facility compliance program including utilization review and monthly triple check for billing accuracy.
  • Review medical records for accurate documentation of the resident’s condition and make recommendations for the improvement of documentation as directed.
  • Conduct pre-admission nursing screening as directed to ensure Medicare Part A eligibility entitlement and coverage for all relevant referrals and new admissions.
  • Develop and implement procedures with the Director of Nursing to inform all assessment team members of the arrival of newly admitted residents.
  • Participate in functions involving discharge plans as necessary.
  • Prepare Notices of Medicare Non-Coverage (NOMNC) within the time limits imposed by Medicare guidelines.
  • Ensure appropriate and accurate completion of the physician certification and recertification form, Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) and Medicare non-coverage letter.
  • Monitor residents for change in condition through facility IDT meetings per facility policies.
  • Obtain appropriate qualifying diagnosis for residents obtaining Medicare Part A services and update diagnosis for each change in resident condition as appropriate.
  • Contribute and collaborate in the development of the annual facility assessment providing updates as required.
  • Perform administrative duties such as completing medical forms, reports, evaluations, studies, etc., as necessary.
  • Maintain and periodically update written facility policies and procedures that govern the development, use and implementation of the Resident Assessment Instrument (RAI)/Minimum Data Set (MDS) and care plan.
  • Develop, implement and maintain an ongoing quality assurance and performance improvement (QAPI) program for the resident assessment/care plans.
  • Ensure that a current copy of the RAI Manual is available to persons completing portions of the MDS.
  • Monitor the MDS website and portal for up-to-date changes in the RAI manual monthly; distribute changes in the RAI manual to the IDT as needed.
  • Review quality measures reports monthly and make recommendations to the QAPI Committee.

Benefits

  • Dental insurance
  • Free parking
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
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