MDS NURSE

4 weeks ago

Nashville TN USA, United States HC&N Healthcare Solutions Full time
HC&N Healthcare Solutions -

MDS Nurse (RN)

We are seeking qualified candidates who have experience as an RN and are committed to help our patients and facilities receive the support they need. Responsible for completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility staff.

MDS Nurse (RN) Essential Job Functions

  • Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans, in accordance with current federal and state regulations and guidelines that govern the process
  • Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals and third party payers
  • Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional information that has an affect on the clinical and operational outcomes of the Facility/Community
  • Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures the RUG score which reflects the care and services provided
  • Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid
  • Ensures timely electronic submission of all Minimum Data Sets to the state data base. Reviews state validation reports and ensures that appropriate follow-up action is taken
  • Facilitates the Care Management Process engaging the resident, IDT and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting
  • Directly educates or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are involved with the RAI process. Teach and train new or updated RAI or company processes to interdisciplinary team (IDT) members as needed
  • Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis
  • Responsible for timely and accurate completion of Utilization Review and Triple Check
  • Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator

MDS Nurse (RN) Qualifications:

  • Active TN nurse license
  • Minimum two (2) years of clinical experience in a health care setting
  • Minimum of one (1) year of experience in a long term care setting
  • Prior experience as an MDS coordination accepted
  • Prior experience with PAE's and PASARR's preferred

 


An Equal Opportunity Employer

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