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MDS Coordinator RN
2 months ago
Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location. Job Summary: The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing. Qualifications Qualifications: * A current, valid Texas nursing license is required (RN, LVN) * At least 2 years of LTC experience preferred. * Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities. * Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment. * Ability to effectively communicate, direct, and at times, delegate tasks. * Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. * Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures. * Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the public. Essential Functions: * Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations. * Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination. * Attends standup meetings every weekday morning. * Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery. * Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines. * Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis. * Initiates and updates the physician certifications for each Medicare Part A Patient. * Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient. * Reviews the 24-hour Nursing report to capture possible change in condition of a Patient. * Prepares for all Medicaid audits. * Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing. * Achieves at least budgeted rates expectation. * Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees responsibility to enforce it. * Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems. * Responsible for assuring patient/resident safety. * Performs other duties and/or tasks as assigned. We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.
