MDS/PCC Coordinator LVN/RN Crestview Court Position

2 months ago

Cedar Hill, Texas, United States Cantex Continuing Care Network Full time
About the Role

Cantex Continuing Care Network is seeking a skilled MDS Coordinator to join our team at Crestview Court in Cedar Hill, TX.

Job Summary

The MDS Coordinator will be responsible for ensuring accurate reimbursement of Medicare and Medicaid patients through the Patient Assessment Instrument (RAI) process. This role will also involve managing quality patient care on a continuing basis, in accordance with federal and state standards.

Key Responsibilities
  • Maintain compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
  • Participate in the assessment of pre-admission paperwork to ensure patients meet qualifying medical necessity determination.
  • Coordinate 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.
  • Obtain Medicare qualifying diagnosis(es) on Medicare Part A patients and update diagnosis for each change in diagnosis.
  • Initiate and update the physician certifications for each Medicare Part A patient.
  • Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid patient.
  • Review the 24-hour Nursing report to capture possible change in condition of a patient.
  • Prepare for all Medicaid audits.
  • Track patient benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing.
  • Achieve at least budgeted rates expectation.
Requirements
  • 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.
What We Offer

Cantex Continuing Care Network offers a highly competitive compensation package, including a 401K plan with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans.

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