MDS Coordinator

4 days ago

Stony Brook, New York, United States HC&N Healthcare Solutions Full time
MDS Coordinator Job Description

We are seeking a highly experienced MDS Coordinator to join our team of dedicated professionals at HC&N Healthcare Solutions.

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.
  • 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 take appropriate follow-up action.
  • 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.
  • 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 committees of the Facility/Community as required and directed by their supervisor and Administrator.
Qualifications:
  • Registered Nurse with a 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 is accepted.
  • Training program available for RN candidates with demonstrated assessment skills.

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