About The Position

The primary purpose of this position is to oversee the facility to ensure assessments are completed per guidelines. A primary focus is the resident assessment process, which includes individual assessment, MDS assessment, and resident plan of care. Key responsibilities include providing oversight on facilities' weekly PDPM meetings, tracking and monitoring the effective utilization of PDPM tools, creating clinical reporting systems, and holding monthly workshops on PDPM and CMS-related regulations. The role also involves tracking and monitoring QM and QASP performance, assisting in reviewing MDS/PDPM claims, providing training to new MDS Coordinators, and developing performance evaluation systems for MDS Nurses. The consultant will ensure accurate and timely completion of all MDS Assessments and coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for new admissions.

Requirements

  • A Bachelor's Degree in Nursing (BSN) or an equivalent Accredited Nursing Program Degree.
  • Experience in clinical and management roles, preferably in a regional or corporate setting.
  • Knowledge of CMS/OIG surveys and regulations.
  • Strong analytical and reporting skills.
  • Excellent communication and interpersonal skills.
  • To preform this job successfully, an individual must be proficient in the Microsoft Suite products.

Nice To Haves

  • MDS certification is preferred.

Responsibilities

  • Provide oversight on facilities' weekly PDPM meetings for skilled patients.
  • Track and monitor each building's effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
  • Create meaningful and effective clinical reporting systems between RDO and RDCS.
  • Hold Regional MDS workshops monthly on PDPM and other CMS-related regulations.
  • Track and monitor QM and QASP performance monthly and quarterly, providing data analysis and clinical recommendations to the facility for optimum outcomes.
  • Assist RDCS in reviewing MDS/PDPM claims monthly for accuracy and in creating trend analysis of clinical areas for improvement.
  • Provide PDPM and MDS trainings to new MDS Coordinators.
  • Develop performance evaluation systems for MDS Nurses in coordination with facility Administrators.
  • Ensure all areas triggered on the resident assessment protocol summary are included in the resident's plan of care.
  • Assess and determine the health status and level of care of all new admissions.
  • Ensure the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change.
  • Communicate the level of care for new residents to all disciplines.
  • Coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames.

Benefits

  • Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
  • PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
  • Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
  • Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
  • Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
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