MDS Management Specialist
2 weeks ago
** Sign On Bonus $,. **
Sign on bonus subject to terms and conditions, and minimum hours worked
OVERVIEW: The MDS Management Specialist plays a crucial role in ensuring the precise and prompt completion of all Medicare and Medicaid case-mix documentation, which is essential for securing appropriate reimbursement for the care and services rendered within the facility. This position involves ongoing reviews of the Minimum Data Set (MDS) to guarantee the attainment of the optimal allowable Resource Utilization Group (RUG) category. The specialist supervises the entire process of MDS and Prospective Payment System (PPS) documentation and submission. He/she will collaborate with nursing, dietary, social recreation, restorative, rehabilitation, and physician services to facilitate accurate assessments and reimbursements. *Sign On Bonus $0.*
KEY RESPONSIBILITIES:
*Sign On Bonus $0.* Evaluates and determines the health status and required level of care for all new admissions. Guarantees the precise and timely completion of all MDS Assessments, including PPS Medicare, quarterly, annual, and significant change assessments. Communicates the required level of care for new residents to all relevant disciplines. Coordinates interdisciplinary involvement in completing the Minimum Data Set (MDS) for each new admission to the facility, adhering to regulatory timelines. Ensures thoroughness and completeness of documentation as mandated by federal, state, and medical standards. Maintains an accurate schedule of all MDS assessments, including the proper reference dates throughout the resident's stay. Responsible for data entry to ensure accurate data entry and electronic submission of MDS assessments. Verifies electronic submissions of MDS, makes necessary corrections, and maintains appropriate records. Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory timelines, ensuring thoroughness and completeness of documentation as mandated by federal and state standards. Schedules and conducts resident care conferences in compliance with state and federal regulations, ensuring completion of all MDS reviews prior to resident care conferences. Assists various disciplines in formulating and revising care plans, ensuring that residents' present and potential issues are identified and prioritized; realistic goals are established, and nursing interventions are appropriate. Evaluates resident care plans for comprehensiveness and individuality. Assesses the achievement or lack thereof of desired outcomes, ensuring that the resident's care plan is reassessed and revised as necessary. Responsible for all level of care changes within the facility, notifying all departments when a level of care change has been made. Generates appropriate forms to complete level of acuity and changes, transmitting forms to the appropriate agency for processing as required by state law. Other duties as assigned.QUALIFICATIONS: To perform this role successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.
Registered Nurse with current unencumbered state licensure. Long Term Care Experience preferred. Ability to read, write, speak, and understand the English language.PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Required to sit, stand, bend, and walk regularly; lift and/or move up to pounds. Visual and auditory ability sufficient for written and verbal communication. The noise level in the work environment is usually moderate.APERJOBS
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