Medical Data Specialist

5 days ago

Bozeman, Montana, United States Gallatin County Full time
Job Summary
We are seeking a highly skilled and detail-oriented Medical Data Specialist to join our team at Gallatin County. As a key member of our MDS Team, you will be responsible for assisting with resident assessments, interviews, and plans of care.

Key Responsibilities
  • Assist with the completion of the Minimum Data Set form (MDS) for nursing home resident assessment.
  • Review individual resident charts for nursing, therapy, physician, and interdisciplinary team (IDT) documentation and assessments.
  • Conduct resident interviews and resident testing (e.g., vision, hearing, etc.).
  • Conduct staff interviews to collect and compile required information for use in assessments.
  • Assist with completion of appropriate MDS assessment report for each resident, incorporating all information collected during interviews, chart reviews, and other data collection activities.
  • Complete audits, including but not limited to:
  • Pressure Injury Audit – weekly audit which includes looking at and measuring any pressure injuries, updating reports, entering information in EHR, family notifications, occasionally making rounds with Wound Clinic.
  • AIMS and Behavior Quarterly Assessments – due January, April, July, and October
  • Assist with updating resident care area narrative assessments and care plans to ensure compliance with established timelines and guidelines.
  • Review charts and MDS assessments, conduct staff and resident interviews, and develop preliminary care plans including problem statements, goals, and interventions.
  • Forward preliminary care plans to other care team members and nursing staff for input and approval.
  • Review medical records for approved admissions and copy appropriate records to be included in resident/patient chart.
  • Enter admission orders for new residents/patients. Assess admission orders for possible contraindications, omissions, irregularities, and report to staff for follow-up.

Requirements
This role requires knowledge of human development, medical terminology, and Medicare and Medicaid payment systems, skill in clinical assessment procedures, and excellent communication and organizational skills. Attention to detail is required.
Education & Experience
The required knowledge, skills, and abilities are typically acquired through a combination of education and experience as a Licensed Practical Nurse registered in the State of Montana.
Supplemental Information

At Gallatin County, we value commitment to service, teamwork, mutual respect, innovation, effectiveness, and responsibility. We strive to create a positive working atmosphere by recognizing the strengths of our coworkers and partners and put aside personal differences for the benefit of the organization and the people we serve.

Gallatin County is a smoke-free environment. As a condition of hire, the final candidate will be required to successfully pass a criminal history check and background investigation.

To be considered for this position, please be prepared to attach the following required documents:

  • Cover Letter
  • Resume
  • 3 Work References

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