MDS RN Float

Medilodge of Zeeland • Zeeland, MI

3h

About The Position

We are looking to hire a float MDS professional - 4 days a week.

Requirements

• Licensed Nurse in good standing, RN preferred
• Acceptable background check.
• Over 21 years of age.
• MDS experience preferred.
• Ability to read, write, comprehend and communicate in English, follow oral and written instructions.
• Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, co-workers, managers, other personnel and support agencies.
• Able to deal tactfully with people, both in person and over the phone.
• Aptitude and ability to use office machines and computer.
• Able to make independent decisions and possess problem-solving skills.
• Able to exercise discernment and make sound judgments.
• Knowledge of medical symbols, abbreviations and terminology.
• Knowledge of nursing and medical practice and procedures, as well as laws, regulations and guidelines which pertain to long term care.

Nice To Haves

• MDS experience preferred.

Responsibilities

• Follow regulations to plan, schedule and assure completion of all components of the RAI process for each resident.
• Utilize medical record, patient assessment and interview, staff interview, family and caregiver interviews as well as the electronic record to assess patients.
• Utilize software for completion of all RAI components.
• Utilize software to transmit assessments.
• Assure accurate completion of assessments.
• Assure timely completion of all assessments.
• Support IDT team to schedule and complete care plans reviews.
• Complete all CAA’s that trigger and facilitate development of care plans that coordinate with CAA assessments and MDS assessments.
• Attend meetings to determine changes in resident status to facilitate scheduling of required assessments, to include Significant Change assessments.
• Maintains schedule of required OBRA and PPS assessments and communicate with IDT team.
• Work with IDT team to plan resident discharges from admission through to discharge.
• Assess resident and review medical record to determine appropriate diagnosis coding and enter codes in to software.
• Complete diagnosis listings, sheets and modify diagnosis codes in relation to changes for patients.
• Coordinate skilled stay for patients following Medicare and Insurance guidelines and contract provisions for Managed Care Part C patients and Dual eligible skilled Medicaid residents as well as private insurance.
• Gather information for insurance authorizations and coordinate authorizations as needed.
• Gather information as needed for insurance re-authorizations and facilitate obtaining authorizations as needed.
• Facility contact for insurance updates.
• Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients.
• Review Triple Check components daily, weekly and monthly to assure compliance with skilled services regulations and contract stipulations.
• Facilitate team meetings and support for RAI components, Medicare cert components, diagnosis coding components and other areas as needed.
• Participate in daily meetings with facility rehab coordinator to review minutes and ADL scores and to track COT needs as well as EOT needs for PPS assessments.
• Determine, along with IDT team, what the reason for skilled services will be and coordinate care with IDT team to assure providing these skilled services.
• Initiation, completion of physician/practitioner certifications as needed and assure practitioner signatures and dates are completed.
• Maintain physician/practitioner signature logs.
• Support the ADR process, and medical records requests by gathering needed information to present to Medical records to complete requests.
• Review billing process monthly with BOM to assure all required components are accurately reflected on UB-04.
• State Specific: CMI, LOCD’s, tracking tools, Part B logs are completed monthly.
• Assure access and logins needed to gather and complete required components.
• Assure RAI components of regulations are in compliance.
• MDS Focused surveys, coordinate RAI component.
• Five Star Rating System: QM’s and how to access and read reports.
• Support clinical by communicating QM flags on an ongoing basis.
• Support facility team in management of QM’s.
• Complete required in-services monthly.
• Complete MDS focused training as required.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree