MDS Coordinator
1 month ago
The MDS Coordinator is responsible for ensuring accurate and timely completion of Medicare/Medicaid case-mix documents to facilitate appropriate reimbursement for care and services provided within the facility. This role involves conducting continuous Minimum Data Set (MDS) reviews to achieve optimal Resource Utilization Group (RUG) categories, overseeing the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission, and integrating nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure proper assessment and reimbursement.
Key Responsibilities:
• Assess and determine the health status and level of care for all new admissions
• Ensure accurate and timely completion of all MDS Assessments, including PPS Medicare, quarterly, annual, and significant change
• Communicate level of care for new residents to all disciplines
• Coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames
• Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay
• Responsible for the data entry function to ensure accurate data entry and electronic submission of MDS assessments
• Verify electronic submissions of MDS, perform corrections when necessary, and maintain appropriate records
• Schedule and conduct resident care conferences in compliance with state and federal regulations and ensure completion of all MDS reviews prior to resident care conferences
• Assist disciplines in formulating and revising care plans, ensuring that resident's present/potential problems are identified and prioritized, realistic goals are established, and nursing intervention is appropriate
• Evaluate resident care plans for comprehensiveness and individuality
• Assess the achievement or lack of achievement of desired outcomes and ensure that the resident's care plan is reassessed and revised appropriately
• Responsible for all level of care changes within the facility, notifying all departments when a level of care change has been made
• Generate appropriate forms to complete the level of acuity and changes, transmit forms to the appropriate agency for processing as required by state law
Requirements:
• Registered Nurse with current unencumbered state licensure
• Long Term Care Experience preferred
• Ability to read, write, speak, and understand the English language
Work Environment:
The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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