Mds Jobs

About The Position

Requirements

• Licensed Registered Nurse (RN) in good standing with the Alabama Department of Health Professions.
• Two years of experience with the MDS process and/or RAC-CT certification.
• Good communication skills and ability to relate ideas to others.
• Computer literacy, ability to use a variety of computer applications, and ability to troubleshoot problems with assistance from corporate IT personnel.
• Excellent organizational skills and ability to meet stringent deadlines.
• Flexibility, attention to detail, effective decision-making, and ability to work as part of a service excellence team.

Nice To Haves

• Previous leadership experience.

Responsibilities

• Assign workloads and manage caseloads among the center’s MDS Coordinators.
• Ensure the MDS Director or a designated MDS Coordinator attends key meetings, including morning standup, clinical and interdisciplinary team meetings, and QAPI.
• Ensure MDS assessments are opened, assessment reference dates are set, MDS data is encoded, and care-plan reviews are opened and closed on time.
• Establish MDS completion priorities based on billing, regulatory, and other relevant timelines.
• Monitor the timeliness and accuracy of MDS and CAA completion with the Regional Clinical Reimbursement Specialist and RAI Director, and provide support and education when needed.
• Monitor and implement reimbursement optimization opportunities within regulatory and compliance guidelines.
• Ensure timely and accurate ICD-10 diagnosis coding by MDS Coordinators, with assistance from the corporate Clinical ADR/Medical Review Coordinator.
• Communicate personnel issues, staff performance concerns, and workload or staffing-capacity concerns related to the RAI process to the Administrator.
• Communicate and coordinate frequently with Regional Clinical Reimbursement Specialists.
• Lead the interdisciplinary team in managing the MDS and care-plan process and provide input to utilization management in accordance with applicable federal, state, and local requirements.
• Ensure assessments are completed accurately and on time, using clinical data to make informed MDS item-set coding decisions, including when information conflicts.
• Ensure disciplines involved in resident care and assessment understand and actively participate in the RAI process.
• Assist center leadership with quality-improvement efforts, staff education, and regulatory compliance related to the RAI process, quality care, and reimbursement.
• Assist the center in determining and assessing levels of care for new and ongoing residents according to applicable skilled-care criteria.
• Provide general oversight of related care processes.
• Coordinate and participate in MDS assessments, triggers, CAAs, and comprehensive care plans by reviewing medical records and communicating with and observing residents, direct-care staff, physicians, families, and the interdisciplinary team.
• Complete required portions of MDS assessments, CAAs, and care plans to ensure accurate and timely completion.
• Maintain a schedule or calendar for skilled and non-skilled residents and distribute it to interdisciplinary care-team members sufficiently in advance of assessment due dates.
• Coordinate with disciplines to establish an appropriate common assessment reference period that accurately reflects the resident’s status and care resources needed.
• Ensure interdisciplinary assessments and care-plan development and updates use common assessment periods within applicable state, federal, and organizational timeframes.
• Ensure the interdisciplinary assessment team uses appropriate resident assessments and triggered CAAs to develop comprehensive care plans reflecting residents’ current physical, mental, and psychosocial needs.
• Ensure assessment-process documentation is maintained according to applicable Medicare, Medicaid, state, federal, and organizational requirements.
• Complete the assessment attestation and lock assessments before submission.
• Provide education and training to the interdisciplinary team on resident assessments, care plans, and the MDS process as needed.
• Work with the Administrator to ensure CMI scores accurately reflect facility residents using corporate measurement tools.
• Assess, plan, implement, and evaluate care, including residents’ physical, mental, and emotional status, and facilitate required interventions.
• Communicate effectively with family members regarding residents’ care or condition.
• Address complaints, follow up, and keep administration informed.
• Attend clinical morning meetings, morning standup, at-risk meetings, fall-team meetings, pressure-ulcer meetings, weight-loss meetings, and other resident-related meetings as appropriate or directed.
• Contribute to and assist in leading clinical reimbursement meetings by coordinating discussion of progress, condition changes, and discharge disposition for Medicare Part A, managed-care, and other resident stays.
• Promote and demonstrate a Service Excellence culture.
• Perform other duties within the scope of education and experience as assigned.