RN MDS Coordinator - Salary

King Farm•Rockville, MD

69d•Onsite

About The Position

This position is primarily responsible for maintaining CMS guidelines to complete the MDS assessment as well as planning/writing individualized care plans for residents. It involves the coordination of the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations, accurate completion of all MDS assessments and any supporting assessments or clinical documentation, and implementation and ongoing evaluation of each resident’s comprehensive plan of care. The role includes scheduling and leading interdisciplinary care plan with team meetings, auditing medical records for the presence of supporting documentation for all items coded on the MDS, and providing education to department heads, physicians, and other staff as needed. The coordinator will collaborate with health plans, physicians, and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria. Additionally, the position involves interpreting rules, regulations and coverage guidelines and acting as a primary resource for problem-solving regarding the SNF prospective payment system and quality reporting program.

Requirements

Bachelor’s degree in nursing
One (1) to three (3) years of long-term care MDS coordination and care planning experience
Valid Registered Nurse license required
Resident Assessment Coordinator certification within one year of hire
Ability to apply practical knowledge and understanding to carry out instructions furnished in written and oral form
High-quality verbal and written communication ability
Strong customer service and interpersonal skills
Proficient in the use of various computer applications
Knowledgeable on all state and federal health regulations

Nice To Haves

Equivalent combination of education and experience

Responsibilities

Utilizes the current RAI Manual as the resource during the assessment coding process.
Schedules the Assessment Reference Dates (ARDs) for payment assessments in a manner that accurately captures each resident’s clinical characteristics for payment classification purposes.
Schedules the ARDs for all OBRA (Omnibus Budget Reconciliation Act) assessments daily, monthly, and as needed.
Provides a schedule of ARDs and assessment types weekly and as needed to the interdisciplinary team (IDT) to facilitate the timely completion of MDS sections and CAAs (Care Area Assessments) by each discipline.
Communicate with members of the IDT as needed for timely completion of assessments. Expected to report any issues with timeliness to the Administrator.
Transmits assessments in accordance with current regulations. To facilitate timely receipt of validation reports, it will be transmitted at least weekly to obtain timely validation of MDS acceptance into the Internet Quality Improvement and Evaluation System (iQIES) System database.
Confirm transmission files by review and printing of initial and final validation reports.
Correct any fatal errors immediately and retransmit the assessment until an accepted validation report is received.
Addresses non-fatal errors using the iQIES MDS 3.0 Provider User’s Guide.
Ensure the Business Office designee receives the final validation report that acknowledges the acceptance of the MDS into iQIES.
Facilitates the completion and updating of resident care plans with the IDT to reflect each resident’s current needs.
Communicates with the IDT to identify residents in need of a Significant Change in Status assessment, based on criteria in the current RAI manual.
Participate in all resource utilization and/or triple check meetings prior to billing of claims associated with payment assessments.
Participates in the Utilization Review meetings for the skilled census, completes assigned portions of the UR tracking spreadsheet, and completes the Clinical HIPPS code triple check form for each PPS assessment.
Assists with admission, discharge, or care of residents as needed.
Attends or participates in continuing education related to the RAI process and related programs.
Completes all assigned training and skills of competency, as determined by the facility of assessment and facility training plans.
Performs administrative duties as assigned, including but not limited to QAPI activities and participation in department or committee meetings.
Manages the Medicare physician certification schedule to provide accurate, complete, and timely certification statements for the Medicare population.
Monitors all MDS-based quality measurement programs for accuracy of MDS-based quality measures.
Maintains professional presence when representing Ingleside exhibits degrees of professionalism consistent with standards in performance, behavior, and appearance.
Treats all residents with dignity and respect.
Promotes and protects all residents’ rights.
Establishes a culture of compliance by adhering to all facility policies and procedures.
Complies with standards of business conduct, state/federal regulations, and guidelines.
Always follow appropriate safety and hygiene measures to protect residents and themselves.
Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination against HR or compliance officer.
Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse and cooperates with all investigations.
Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
Participates in all life safety and emergency drills and training. Fulfills duties as assigned during implementation or activation of the facility’s emergency plan.
Reports work-related injuries and illnesses immediately to supervisor.
Follows established infection control policies and procedures.
As a condition of employment, completes all assigned training and skills of competency.
Always maintain resident confidentiality according to policies and procedures; use discretion when discussing confidential matters.
Demonstrates courteous and cooperative behavior with residents, families, co-workers, subordinates, supervisors, and other department staff.
Maintains positive working relationships with management and coworkers; willingly follow directions and requests as appropriate.
Exhibits professional standards through appearance and demeanor consistent personnel standards.
Demonstrates a thorough knowledge of work assignments and performs in a manner to meet quality and timeliness objectives.
Demonstrates knowledge and understanding of policies and procedures; seeks clarification or interpretation from appropriate supervisors when needed.
Uses tactful, diplomatic communication techniques in all relations with others.
Participates in-service, projects, or committees as time permits.
Maintains all certifications necessary for employment.
Demonstrates flexibility, open mindedness, and versatility in adjusting to changing environments and requirements, as necessary.
Commits to continually improving his/her skills through participation in education opportunities whether offered on the job, within, or outside of the community, to increase knowledge of work-related issues.
Maintains a current knowledge of federal, state, and other regulations applicable to the job.
Complies with WLR established safety rules and practices.
Complies with applicable safety policies and procedures as prescribed by the organization, as well as government regulations.
Reports any potential safety hazard(s) immediately to the supervisor or other appropriate personnel.
Reports any injury of resident, visitor, or employee immediately to supervisor or other appropriate personnel.
Help residents, visitors, or employees in an emergency situation, following the proper emergency procedures.
Uphold our ARISE values—Accountability, Respect, Innovation, Stewardship, and Excellence—which guide our behavior, decisions, and service to others with purpose and integrity.