Resident Assessment and Care Coordinator

7 days ago

Nashville, Tennessee, United States Nashville Center for Rehabilitation and Healing Full time
About the Role

The Nashville Center for Rehabilitation and Healing is seeking a highly skilled and detail-oriented MDS Coordinator to join our team. As a key member of our clinical operations team, you will play a critical role in ensuring the highest quality of care for our residents.

Key Responsibilities
  • Oversee the accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs), and Care Plans, in accordance with federal and state regulations and guidelines.
  • Act as an in-house Case Manager, demonstrating detailed knowledge of residents' health status, critical thinking skills to develop an appropriate care pathway, and timely communication of needed information to the resident, family, other healthcare professionals, and third-party payers.
  • Proactively communicate with the Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems, clinical trends that impact resident care, and any additional information that affects clinical and operational outcomes.
  • Utilize critical thinking skills and collaborate with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Capture the RUG score, which reflects the care and services provided.
  • Demonstrate an understanding of MDS requirements related to varied payers, including Medicare, Managed Care, and Medicaid.
  • Ensure timely electronic submission of all Minimum Data Sets to the state database. Review state validation reports and ensure that appropriate follow-up action is taken.
  • Facilitate the Care Management Process, engaging the resident, IDT, and family in timely identification and resolution of barriers to discharge, resulting in optimal resident outcomes and safe transition to the next care setting.
  • Directly educate or provide company resources to IDT members to ensure they are knowledgeable of the RAI process. Provide an overview of the MDS Coordinator and Assessor role to new employees involved with the RAI process. Teach and train new or updated RAI or company processes to IDT members as needed.
  • Analyze QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis.
  • Responsible for timely and accurate completion of Utilization Review and Triple Check.
  • Serve on, participate in, and attend various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator.
Requirements
  • Registered Nurse/LPN with current, active license in the state of practice.
  • Minimum two (2) years of clinical experience in a healthcare setting.
  • Minimum of one (1) year of experience in a long-term care setting.
  • Prior experience as an MDS Coordinator accepted.
  • Training program available for RN candidates with demonstrated assessment skills.

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