MDS Nurse Coordinator

4 weeks ago


Pensacola, Florida, United States Arabella Health and Wellness of Pensacola Full time
Job Title: RNAC-MDS Nurse

Arabella Health and Wellness of Pensacola is seeking a skilled RNAC-MDS Nurse to join our team.

Job Summary

The RNAC-MDS Nurse will be responsible for coordinating and assisting with the completion and submission of accurate and timely interdisciplinary MDS Assessments, Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations.

Key Responsibilities
  • Assist with coordination and management of the daily PPS meeting, weekly Medicare meeting which includes review of resident care and the setting of the Assessment Reference Date.
  • Comply with federal and state regulations regarding completion and coordination of the RAI process.
  • Complete and Monitor MDS and care plan documentation for all residents. Ensure documentation is present in the medical record to support MDS coding.
  • Maintain current MDS status of assigned residents according to state and federal guidelines.
  • Initiate and support the tracking system of MDS schedules.
  • Maintain the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
  • Complete accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
  • Participate in quality assurance activities.
  • Complete electronic submission of required documentation to the State database and other entities per company policy.
  • Assist with completion of resident insurance clinical verification requests, which includes MDS verification.
  • Coordinate with billing office during monthly close to ensure all necessary MDS assessments are addressed as needed.
Requirements
  • Must possess an associate's or bachelor's degree in nursing from an accredited college or university.
  • Familiar with Reimbursement system of Medicare, Medicaid & Case Management of at least 1 year.
  • Knowledge of state and federal regulations, both clinical and financial as it relates to the RAI process and reimbursement systems.
  • Knowledge of the clinical software billing system and the MDS process.
  • MDS 3.0 experience (Preferred).
  • RAC-CT preferred (Preferred).


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