MDS Nurse

St Luke Health Services•Oswego, NY

1d•$75,000 - $85,000

About The Position

MDS (Minimum Data Set) nurse collects and assesses information for the health and well-being resident in Medicare or Medicaid-certified beds. Complies with Federal and State requirements for all MDS sections. Follows facility policy and procedures. The MDS Nurse monitors residents’ health and well-being from the time of admission through the end of their stay. Assist with Quality Assurance and quality measures.

Requirements

Current NYS Licensed Registered Nurse
Knowledge of MDS 3.0, CAA’s, Medicare and Medicaid Guidelines for coverage and reimbursement
Excellent written and oral communication skills with the ability to work independently and under time constraints
Long-Term Care Experience
Basic computer skills

Nice To Haves

RAC-CT Certification preferred

Responsibilities

Completes the nursing components of the Resident Assessment Instrument (RAI) process to ensure timely completion of Minimum Data Set.
Ensures completion of PPS and/or OBRA assessments for both subacute and long-term care as required.
The MDS Nurse utilizes State and Federal guidelines for the RAI process ensuring documentation meets necessary guidelines and reimbursement standards.
Gathers information from nursing, dietary, social services, therapy, and physician services to ensure appropriate quality of care and reimbursement.
MDS Nurse will assist with completing nursing assessments.
Ensure legal compliance for the facility by following the MDS Process.
Assists with determination coverage for skilled Nursing services and provide. complete team with documentation information to prevent payment denials.
Utilizes the RAI, MDS 3.0, QM and QRP manuals to ensure the highest quality of care is provided, documentation supports outcomes and maximum reimbursement is achieved.
Review 24-hour report for updates and possible change of condition.
Assists with the Quality Assurance Program as needed.
Participate in daily review of new admission medical record, MD orders and nursing reports
Ensure compliance with regulations utilizing the MDS schedule to plan and set MDS ARD
Maintains and develops on-going MDS schedule
Audit and analyze MDS data for accuracy
Works in collaboration with the Unit Managers and unit staff for educational purposes and accuracy of documentation
Educates members of the IDT as necessary in completion of the MDS and any changes in the MDS process
Attends weekly Medicare meeting to ensure that eligible residents receive Medicare coverage as appropriate and ensures appropriate documentation is in medical record
Works with residents, families as needed regarding questions on Medicare benefits and related issues (demand bill)
Issues NOMNC to residents/responsible party and assists with the appeals process, as needed.
Completes QA audits as assigned
Recognizes link between MDS data and Quality Improvement measures.
Maintains open communication with Medical Staff, Administrator, DON, ADON and Pharmacy consultant
Attends Nurse Management meetings, Patient Care meetings and any other meetings as assigned
Performs other tasks as assigned
Must be able to work more than eight (8) hours per day or more than forty (40) hours per week.