Resident Care Management Director - MDS - Full-Time 1st Shift

North Shore Healthcare Support Center•Sturgeon Bay, WI

41d

About The Position

Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.

Requirements

Registered Nurse (RN) in good standing with the respective state licensing board

Nice To Haves

2+ years of previous experience
Experience in a fast-paced environment
Post-acute care or healthcare experience
Demonstrated competence PDPM as well as OBRA compliance
Excellent clinical assessment skills

Responsibilities

Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care team
Ensuring the face validity of all Minimum Data Sets before electronic submission
Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
Calculate triggers and develop resident assessment protocols for initiation of care plan
Ensure MDSs are completed timely
Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
Review and assess all resident information (including hospital records) to accurately complete MDS scoring
Train nursing staff on responsibilities for timely and accurate clinical record documentation
Participates in the interdisciplinary care team
Stays current with state and federal regulatory changes
Complies with laws and regulations applicable to position and act in accordance with the Center's Compliance Program
Attends and participates in in-service training, performance improvement ("PI") committees, and other meetings as scheduled and directed
HIPAA
Follows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
Uses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasks
Reports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy Designee