MDS Coordinator LVN
4 weeks ago
The MDS Coordinator LVN position is responsible for ensuring accurate and timely reimbursement of Medicare and Medicaid patients through the Patient Assessment Instrument (RAI) process. This role requires strong communication and organizational skills to manage quality patient care and maintain compliance with federal and state regulations.
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.
- 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.
Cantex Continuing Care Network is committed to a culture that respects our differences and values the contributions of all people. We offer an excellent benefit plan, including 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.
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Frisco, Texas, United States Aveanna Healthcare Full time{"title": "Aveanna Private Duty Nurse - LVN/LPN Night Shifts", "content": "Aveanna Private Duty Nurse - LVN/LPN Night ShiftsAveanna's Private Duty nurses provide one-on-one care to patients in the comfort of their own homes, assisting with transitions from the hospital and supporting patients with ongoing care needs.We match our nurses to their patients...
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MDS Coordinator LVN- Prairie Estates
1 month ago
Frisco, United States Cantex Continuing Care Network Full timeJob DetailsJob Location Prairie Estates - Frisco, TX Position Type Full Time Education Level Associates Degree Travel Percentage None Job Shift Day Description Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more...
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4 months ago
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3 weeks ago
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2 weeks ago
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2 months ago
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