MDS Specialist

8 hours ago

Tulsa, Oklahoma, United States MGM Healthcare Full time
MDS Specialist Job Description

MGM Healthcare is seeking a highly skilled and dedicated MDS Specialist to join our team. As an MDS Specialist, you will play a critical role in ensuring the highest quality of care for our residents by coordinating and managing the Minimum Data Set (MDS) process.

Key Responsibilities:
  • Coordinate and manage the MDS process, ensuring timely and accurate completion of assessments and coding.
  • Work closely with the Director of Nursing to ensure necessary nursing documentation and risk assessments are completed timely to capture nursing services delivered on the MDS.
  • Participate in meetings at community and corporate level to ensure effective communication and collaboration.
  • Prepare and submit Additional Documentation Requests (ADRs)/Revenue Audits in a timely manner.
  • Provide ongoing training and education to staff regarding the RAI process, including ADL documentation, interview techniques, skilled services, and documentation guidelines.
  • Assess competency of all staff members involved in the RAI process and educate the interdisciplinary team as needed.
  • Demonstrate an understanding and assisting in the preparation of clinical, quality, and reimbursement reports.
  • Participate in the review of quarterly Medicaid reports, if applicable.
  • Ensure timely, accurate, and complete assessments of the residents' health and functional status during the entire assessment period.
  • Schedule and open in the EMR resident's MDS assessments as applicable per RAI guidelines for OBRA, Medicare PPS, and/or Medicaid/State required assessments.
  • Accurately code the MDS to reflect services delivered per RAI guidelines.
  • Ensure individualized plans of care with an interdisciplinary approach in accordance with federal, state, and local regulations, and the established policies and procedures.
  • Reviews the CASPER validation reports and ensures that appropriate follow-up action is taken.
  • Analyze Quality Measure reports as a mechanism of quality assurance and improvement.
  • Function as an RAI and Clinical Reimbursement resource to the community staff.
  • Attend and participate in education, such as corporate webinars and meetings, RAC-CT, ADL training, Relias/Online training, and community training.
  • Maintain proficiency in the operations of the clinical/MDS software program.
  • Maintain proficiency in the ability to transmit data per regulatory standards.
  • Maintain proficiency in Medicare/PDPM, ICD10 coding, OBRA, RAI, and Regulatory changes related to.
  • Maintain confidentiality of pertinent client and employee information to assure their privacy is protected.
  • Safety concerns are identified, and appropriate actions are taken to maintain and assure patient safety.
  • Monitor clinical systems for changes in resident condition.
  • Strategically set assessment reference date (ARD), in conjunction with the interdisciplinary team, to capture needs, care, and services delivered to accurately reflect the status of the resident.
  • Monitor MDS and care plan documentation on all residents, assuring that complete, orderly, and chronological documentation is maintained in the file.
  • Communicate pertinent information to nursing management, business office, facility administration, Regional Clinical Reimbursement, and corporate biller.
  • Attend, actively participate, and provide MDS, QM, and Reimbursement expertise at the following meetings: Daily Clinical, Weekly Resident at Risk, Weekly Utilization Review, and Daily Stand up.
Qualifications:
  • Graduate of an accredited school of nursing.
  • MDS experience is preferred, however, will educate and work alongside any dedicated, enthusiastic candidate to grow their skill set in this challenging and rewarding career.
  • Must be an RN with a current, active license.
  • CPR certified.
  • Candidates must maintain a working email address and phone number for employer communication.
  • Basic computer knowledge.
  • Excellent written, verbal, and interpersonal skills.
  • Exhibit excellent customer service and a positive attitude.
  • Convey compassion and empathy for residents and their representatives.
  • Be a skilled communicator, educator, director, and motivator.
  • Have exceptional organizational and time management skills.
  • Be committed to excellence.

MGM Healthcare is an equal opportunity employer and welcomes applications from qualified candidates of all backgrounds. We are committed to complying with all state, federal, and local laws that prohibit discrimination in employment, including recruitment, hiring, placement, promotion, transfers, compensation, benefits, training, programs, reductions in workforce, termination, and recall.

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