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MDS Coordinator LPN LVN LNAC

2 months ago

Houston, Texas, United States Afton Oaks Nursing & Rehab Center Full time
About Us

Afton Oaks Nursing & Rehab Center is a leading provider of post-acute care services, dedicated to delivering exceptional healthcare and exceeding expectations. Our mission is to improve every life we touch by providing compassionate and personalized care.

Job Summary

We are seeking a highly skilled MDS Coordinator LPN LVN LNAC to join our team. As a key member of our interdisciplinary team, you will play a critical role in facilitating the RAI Process, ensuring timely MDS assessments, and coordinating care plans. If you are passionate about caregiving and committed to delivering exceptional patient care, we encourage you to apply.

Responsibilities
  1. Facilitate the RAI Process under the direction of an R.N. or DNS
  2. Work in collaboration with the interdisciplinary team to identify patient/resident needs
  3. Coordinate and conduct daily Case Management meetings
  4. Ensure timely MDS assessments according to state and federal regulations
  5. Ensure interdisciplinary team completes designated sections of the MDS assessment
  6. Ensure accurate coding of the MDS assessment with information obtained via medical record review, observation, and interview with center staff, patients, residents, and family members
  7. Ensure documentation is available to support accurate coding of the MDS assessment
  8. Maintain the tracking system of MDS assessment schedules (timeframes and due dates)
  9. Facilitate Care Plan conferences with the interdisciplinary team, patient, residents, and families
  10. Obtain, review, and maintain all State and Federal reports, making appropriate corrections timely
  11. Monitor Quality Measures and ensure that MDSs are accurate to support and reflect the Quality Measures
  12. Provide education related to the RAI Process
  13. Coordinate and complete electronic submission of required documentation to the State database and other entities per company guidelines and State and Federal regulations
  14. Ensure Medicare and Medicaid regulatory guidelines are completed accurately and timely (i.e., certifications, denial letters, skilled documentation, coverage criteria, etc.)
  15. Provide Managed Care case management at the center level
  16. Review Additional Documentation Requests (ADRs) with Health Information Management Coordinator (HIMC) to ensure all documents are available and meet the request
  17. Participate in billing reviews (Triple Check) to ensure claims have supporting MDS assessment documents
  18. Participate in Quality Assurance and Process Improvement Activities
  19. Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAI Process, and computer technology updates
  20. May be required to fulfill the job functions of a direct care nurse as determined by the needs of the patients/residents and center
Qualifications
  1. Must hold current nursing license in the state of employment
  2. Experience in Long Term Care
  3. Computer skills
  4. Knowledge of Medicare, Managed care, and RAI Process Required
  5. Participating in the LPN to RN Back to School transition program

Afton Oaks Nursing & Rehab Center is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a warm, caring, safe, and professional environment for our customers and each other.