MDS Specialist with PDPM Expertise

2 weeks ago


Chelmsford, Massachusetts, United States Sunny Acres Full time
Position Overview

About Sunny Acres:

Sunny Acres Skilled Nursing and Rehabilitation has been dedicated to providing exceptional care and support since 1948. We take pride in fostering a compassionate atmosphere for our residents and staff alike.

Primary Duties:

  • Hold a valid RN or LPN license in MA with a minimum of two years of experience in MDS/PDPM.
  • Lead weekly Medicare meetings, ensuring clear communication regarding coverage criteria.
  • Submit MDS to CMS and follow up to rectify any discrepancies or messages indicated in final validation reports.
  • Conduct PDPM/MDS assessments within required regulatory timelines, including CAAs.
  • Review invoices related to skilled patients under consolidated billing as necessary.
  • Maintain an updated PDPM schedule, ensuring all PDPM MDS ARDs are set within the designated time frames in the MDS software.
  • Perform MDS accuracy and PDPM reviews using the required software and processes promptly.
  • Engage in compliance reviews and the Triple Check process.
  • Oversee skilled documentation for potential enhancements or modifications.
  • Adhere to a schedule of due dates for all MDS submissions.
  • Coordinate the completion of MDS assessments across all disciplines.
  • Examine MDS data for precision and collaborate with relevant staff to ensure accuracy.
  • Finalize and submit MDS according to RAI requirements.
  • Complete Medicare Physician Certification and ensure adherence to CMS Medicare guidelines.
  • Confirm that assessments are transmitted and approved by the State promptly.
  • Address any rejected records and prepare them for resubmission.
  • Complete CAAs in accordance with state regulations.
  • Provide weekly updates for managed care residents.

Qualifications:

  • Experience in a hospital, long-term care facility, or other healthcare-related environment.
  • Strong knowledge of nursing practices, rehabilitative and restorative care, and the regulations governing long-term care.
  • Proficient in computer applications, with a preference for Accu Med experience.
  • Demonstrated experience in MDS/PDPM completion is essential.
  • Able to work independently and manage time effectively.
  • Willingness to adapt schedule for month-end processes.
  • Detail-oriented with the ability to complete assessments accurately and in a timely manner.

Benefits:

  • Collaborate with a supportive team committed to your professional development.
  • Enjoy paid lunch breaks.
  • Receive weekly pay.
  • Benefit from paid vacation and PTO.
  • Access health, dental, and vision insurance, along with additional benefit plan options.
  • Participate in a 401K plan with matching contributions.


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