MDS Coordinator

3 weeks ago

Glasgow WV, United States Glasgow Rehab and Care Full time
Glasgow Rehab and Care Center is hiring MDS Coordinator

SUMMARY: Develops and completes resident assessments, care plans and oversees reimbursement per Medicare and Medicaid guidelines by performing the following duties:

ESSENTIAL DUTIES AND RESPONSIBILITIES: An individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and/or ability required. Other duties as assigned.
1. Develops and completes resident assessments. This includes but is not limited to: timely completes, transmits, and updates assessments; implements CAAs and Triggers; evaluates the condition, medical background, and special assessment/activities of each resident. Coordinates interdisciplinary
meetings to review assessments.
2. Assist with plans of care. This includes but is not limited to: ensuring timely completion of
comprehensive care plan for each resident, which is designed to meet medical, nursing, mental, and
psychosocial needs, and includes measurable objectives to meet such needs; conducting quarterly
review or other regular assessment; and ensuring care plan is evaluated and revised for each
assessment or status change, including discharge; coordinating timely review of each resident’s care
plan by interdisciplinary team.
3. Assists with payer coverage matters. This includes but is not limited to: completion of pre-admission
assessment; coordinating Medicare and payer coverage; analyzing clinical financial issues for the
RAI process; communicating concerns to appropriate staff; review clinical and therapy documentation
to ensure residents are placed in the correct/appropriate resource utilization group (RUG) level and
assisting with coding; ensuring documentation supports covered services per Medicare charting
guidelines. Communicates with assessment team regarding complete and accurate assessment
functions to support billing.
4. Act as Chairperson of the Interdisciplinary Care Plan Team. Works with Interdisciplinary Care Plan
Team in developing a comprehensive resident assessment and care plan for each resident. Provides
training to staff in regard to RAI process. Trains, evaluates, monitors and coordinates documentation
to support MDS.
5. Ensures proper documentation is maintained. This includes but is not limited to: verification that each
portion of every assessment is signed and dated by the person completing that portion of the MDS.
6. Performs quality assessment and assurance functions. This includes but is not limited to: conducting
ongoing review of quality regarding resident assessment/care plans; regularly auditing RAI process
for accuracy, timeliness and submission; assisting with audits of MDS process with consultants
and/or outside agencies; communicating results of internal and/or external audits to staff.
7. Coordinates any record request to validate payment; including notification to the interdisciplinary
team, development of checklist with dates of service documentation and mailing of the record in a
timely manor.

Must be an RN in the state of operation

#LHHP

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