RN MDS Coordinator/Unit Manager- SNF- Douglas (56041)

Rocky Mountain Care Group•Douglas, WY

5d•Onsite

About The Position

The RN MDS Coordinator/Unit Manager coordinates the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations. The position is responsible for accurate completion and transmission of MDS assessments and supporting documentation, and for implementing and evaluating residents’ comprehensive plans of care. The coordinator schedules and leads interdisciplinary care plan meetings, works with the interdisciplinary team to complete assessments and care plans on time, and identifies residents who may need a Significant Change in Status assessment. The role includes scheduling assessment reference dates (ARDs), monitoring validation reports and resolving transmission errors, auditing medical records for supporting documentation, and ensuring the Business Office receives MDS acceptance reports. The coordinator collaborates with health plans, physicians, and the interdisciplinary team on insurance approvals and coverage eligibility; interprets applicable rules and guidelines; and serves as a resource for SNF prospective payment and quality reporting. The position may also assist with resident admissions, discharges, or care, and perform administrative duties such as QAPI activities and committee participation. The position requires compliance with facility policies, resident rights, confidentiality, safety, infection-control, and emergency procedures. It may involve movement throughout the workday, assisting with resident evacuation, and exposure to infectious materials and other workplace conditions. The employee must attend required training and maintain regular attendance. Other duties may be assigned by the Administrator.

Requirements

Current, unencumbered, active RN license.
Complete Resident Assessment Coordinator (RAC) training within six months of hire.
Ability to read, write, speak, and understand English.
Ability to make independent decisions when circumstances warrant.
Ability to communicate effectively verbally and in writing and exercise judgment.
Intermediate computer skills, including creating documents in Word, Excel, and PowerPoint and navigating electronic medical record systems.
Ability to work independently and organize, plan, and manage time effectively to complete assignments.
Ability to deal tactfully and patiently with personnel, residents, families, visitors, government agencies, and the public, including in difficult situations.
Ability to relay information concerning a resident’s condition.
Ability to move intermittently throughout the workday and perform position-related movements such as bending, stooping, kneeling, crouching, and overhead lifting.
Ability to assist with resident evacuation during emergencies.
Meet facility health requirements, including medical and physical exams and immunity-status checks.
Regular attendance is required.
Must not pose a threat to the health and safety of others in the workplace.
Comply with facility standards, policies, procedures, and compliance and ethics program.

Nice To Haves

Experience with MDS completion.
Resident Assessment Coordinator (RAC) certification.
Supportive teamwork and positive interpersonal relationship skills, including with people of all ages and cultures.
Current awareness of relevant regulations and standards of care.

Responsibilities

Coordinate the facility’s RAI process in accordance with state and federal regulations.
Complete MDS assessments accurately, along with supporting assessments and clinical documentation.
Implement and continually evaluate each resident’s comprehensive plan of care.
Schedule and lead interdisciplinary care plan team meetings.
Audit medical records to verify supporting documentation for items coded on the MDS.
Provide education to department heads, physicians, and other staff as needed.
Collaborate with health plans, physicians, and the interdisciplinary team to secure insurance approvals and confirm eligibility and coverage criteria.
Interpret rules, regulations, and coverage guidelines, and serve as a primary resource for problem solving related to the SNF prospective payment system and quality reporting program.
Use the current RAI Manual as a resource during assessment coding.
Schedule ARDs for payment assessments to accurately capture residents’ clinical characteristics for payment classification.
Schedule ARDs for OBRA assessments daily, monthly, and as needed.
Provide the interdisciplinary team with weekly and as-needed schedules of ARDs and assessment types to support timely completion of MDS sections and CAAs.
Communicate with interdisciplinary team members to support timely assessment completion and report timeliness issues to the Administrator.
Transmit assessments in accordance with regulations and as frequently as necessary to obtain timely validation of MDS acceptance into the QIES ASAP System.
Review and print initial and final validation reports, correct fatal errors promptly, retransmit assessments until accepted, and address non-fatal errors using the QIES ASAP System MDS 3.0 Provider User’s Guide.
Ensure the Business Office designee receives validation reports acknowledging MDS acceptance.
Facilitate completion and updating of resident care plans with the interdisciplinary team to reflect residents’ current needs.
Work with the interdisciplinary team to identify residents who may need a Significant Change in Status assessment.
Participate in resource utilization and/or triple-check meetings before billing claims associated with payment assessments.
Assist with resident admissions, discharges, or care as needed.
Attend or participate in continuing education related to the RAI process and related programs.
Complete assigned training and skills competency requirements.
Perform administrative duties as assigned, including QAPI activities and participation in department or committee meetings.
Treat residents with dignity and respect, promote and protect resident rights, and comply with facility policies, business conduct standards, and applicable regulations.
Maintain confidentiality of protected health information and report noncompliance, confidentiality breaches, retaliation, discrimination, and suspected abuse, neglect, exploitation, or mistreatment to appropriate personnel.
Follow safety, hygiene, and infection-control procedures; report occupational exposures and work-related injuries or illnesses; and participate in life-safety and emergency drills and assigned emergency-plan duties.