MDS Nursing Coordinator

2 weeks ago

Angola, Indiana, United States Castle Healthcare Full time
POSITION OVERVIEW:
The MDS Coordinator is a skilled healthcare professional responsible for ensuring precise assessment coding and maintaining current care plans for all residents, in collaboration with the RN Coordinator. Through meticulous assessment coding, the MDS Coordinator establishes reimbursement rates for eligible residents and monitors quality metrics for public reporting. This role also guarantees that records related to resident care align with the care plan and accurately reflect the services provided.

KEY RESPONSIBILITIES:

1. Must possess the physical and mental capability to perform routine job functions.

2. Requires a solid understanding of nursing services, administration, rehabilitation, general nursing, geriatric care, the MDS process, and its electronic medical record (EMR) application.

3. Strong managerial, organizational, planning, computer, and interpersonal skills are essential.

4. Ability to initiate, complete, and update care plans with each MDS assessment, within the applicable scope of practice.

5. Capable of conducting in-service training for nursing staff on care plans, documentation, activities of daily living (ADLs), and EMR application.

6. Monitor resident EMR records for consistency and accuracy.

7. Identify issues and communicate them to the Director of Nursing, Social Worker, Activity Director, Diet Tech/RD, or other relevant facility personnel.

8. Maintain a personable and professional demeanor with residents, families, and staff.

9. Demonstrate compassion, tolerance, and understanding towards the elderly population.

10. Knowledge of IDH standards and documentation methods in compliance with those standards.

11. Proficient in navigating the Resident Assessment Instrument (RAI) Manual.

12. Understanding of the technical and clinical criteria necessary for Medicare coverage.

PRIMARY DUTIES:

A. Uphold the facility's care philosophy and work towards achieving its objectives.

B. Oversee the completion of the MDS during:

a. initial admissions

b. readmissions

c. quarterly assessments

d. annual evaluations

e. significant changes

f. as required for PPS/Insurance reimbursement

C. Provide a monthly calendar of scheduled MDS assessments and ensure that assessments are opened in the EMR for the interdisciplinary team (IDT) to access.

D. Ensure timely completion of each MDS section by the appropriate department, with staff signatures on the EMR and resident appropriateness.

E. Collaborate with departments to address any issues that arise in their sections of the MDS and arrange for re-education as necessary, focusing on accurate coding and documentation.

F. Review ICD 10 diagnosis coding and sequencing upon admission, reentry, and with each MDS assessment, completing Physician Queries for clarification as needed.

G. Conduct daily reviews of clinical records to identify opportunities for capturing the highest level of care on OBRA and PPS assessments, ensuring alignment of reimbursement with care and resident characteristics.

H. Facilitate daily MDS-therapy meetings and weekly Utilization Review meetings.

I. Participate in pre-billing reviews of claims per facility guidelines.

J. Monitor MDS-based Quality Measures for coding errors and assist the IDT in identifying measures for facility QAPI efforts.

K. Support staff across departments with EMR charting, documentation, and achieving care plan goals in accordance with the resident's MDS.

L. Communicate resident care plans and progress to staff, residents, and families, ensuring timely review dates are set in PCC with MDS assessments.

M. Conduct in-service training for nursing staff every three months on care plans and documentation.

N. Record, report, and follow up on discrepancies in documentation that do not meet program standards.

O. Collaborate closely with the Director of Nursing and other department heads to ensure consistency in resident care.

P. Work with, or as, RN to coordinate resident care plans with therapy departments to ensure appropriate treatment when clinically indicated.

Q. Maintain confidentiality of resident information and respect their personal and property rights.

R. Adhere to established fire, disaster, safety, infection control, and evacuation policies and procedures.

S. Perform additional duties as assigned by the Administrator.

T. Assist with staffing coverage as necessary to meet resident needs.

QUALIFICATIONS:

1. Current State of Indiana license as a Registered Nurse or Licensed Practical Nurse.

2. Proficient in reading, writing, and speaking English in a clear manner.

3. AANAC certification is preferred.

PHYSICAL AND SENSORY REQUIREMENTS:
  • Ability to move intermittently throughout the workday.
  • Must be able to communicate effectively in English.
  • Ability to cope with the mental and emotional demands of the position.
  • Must possess adequate sight/hearing or use prosthetics to meet job requirements.
  • Must function independently and work effectively with residents and staff.
  • Must meet general health requirements set by facility policies, including medical and physical examinations.
  • Ability to relate to and work with ill, disabled, elderly, and emotionally distressed individuals.
  • Must be able to lift a minimum of 25 pounds to a height of 5 feet and carry such weight a minimum distance of 50 feet.
  • May need to assist in evacuating residents during emergencies.
WORKING CONDITIONS:
  • Work in office areas and throughout the facility.
  • Intermittent movement during working hours.
  • Subject to frequent interruptions.
  • Involvement with residents, personnel, visitors, and government agencies under various conditions.
  • Exposure to varying temperatures in kitchen/storage areas.
  • May encounter sudden temperature changes when accessing refrigeration units.
  • Communication with medical staff, nursing personnel, and department directors.
  • Work beyond normal hours, including weekends and holidays as needed.
  • Subject to call back during emergencies.
  • Risk of injury from falls, burns, and exposure to various environmental factors.
  • Potential exposure to infectious waste and diseases.

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