MDS Nurse

Ohio Living•Moore, OK

About The Position

The MDS Nurse - RN provides accurate documentation for resident and patient assessments and care plans in accordance with company standards and applicable federal, state, and local standards, guidelines, and regulations. The role serves as a team member or team leader of the interdisciplinary team. The position oversees the RAI process, MDS submissions, assessment and care-plan information, skilled and Medicaid resident statuses, and Medicare and managed-care logs. It supports reimbursement, participates in care conferences, assists with insurance appeals, and remains available for facility surveys and audits. The MDS Nurse also promotes timely, accurate documentation, provides final review and authorization of interdisciplinary documentation, communicates due-date schedules, stays current on regulatory changes, and assists with quality and survey findings.

Requirements

Nursing degree from an accredited college, university, or vocational school.
Current, unencumbered Ohio license to practice as a Registered Nurse (RN).
At least two years of experience as a nurse in a long-term care facility.
Experience in rehabilitative and restorative nursing practices.
Knowledge of nursing and medical practices and procedures, and of laws, regulations, and guidelines pertaining to long-term care, especially documentation.
Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet.
Proficiency with electronic medical records (EMR) systems.
Ability to read, write, speak, and understand English.

Nice To Haves

Two years of MDS experience preferred.

Responsibilities

Oversee the RAI process and submission process by validating and monitoring reports (EHDS).
Plan, develop, organize, and communicate assessment and care-plan information to staff to optimize resident and patient care.
Oversee and complete computer data entry and electronic submission for MDS transmission (EHDS).
Oversee Medicare and managed-care logs and direct decisions about insurance coverage, cut dates, and MDS schedules.
Oversee skilled resident and patient statuses to maximize reimbursement.
Oversee Medicaid resident statuses to maximize case mix scores.
Participate in care conferences.
Remain available during facility surveys and audits of the facility or its documentation.
Assist with insurance appeals by reviewing MDS-coded documentation and verifying consistency.
Attend all-employee and departmental meetings and in-service training as scheduled or directed.
Ensure accurate and timely MDS, CAA, and Plan of Care documentation from the interdisciplinary team.
Provide final review of MDS and Plan of Care documentation from all disciplines, offering education and advice as needed and providing authorization.
Maintain and communicate schedules of MDS and Plan of Care due dates.
Keep current on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement.
Attend committee meetings as requested.
Maximize reimbursement through team education, planning, and accurate, timely MDS assessments.
Assist with reviewing and addressing quality measures, survey findings, quality assurance findings, and other assigned findings or survey results.
Perform other duties as assigned.