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MDS Coordinator Specialist

2 months ago


Wilmington, Delaware, United States Cadia Healthcare Pike Creek Full time
Job Summary

Cadia Healthcare Pike Creek is seeking a highly skilled and experienced Lead Registered Nurse Assessment Coordinator (RNAC) to join our team. As a key member of our healthcare team, the successful candidate will be responsible for leading the MDS team in accurate and timely completion of MDS assessments and coordination of the RAI process.

Key Responsibilities
  • Coordinate the RAI process, which includes the Minimum Data Set (MDS) care area assessment process and care plan development, implementation, and evaluation.
  • Oversee the baseline care plan and coordinate the completion of the comprehensive care plan according to regulatory requirements.
  • Determine skilled level of care for Medicare residents and procure required Medicare-specific documentation; be responsible for physician certification of a skilled level of care throughout the Medicare stay; be involved in making eligibility determinations.
  • Coordinate care with case managers for residents utilizing managed care, health maintenance organizations (HMOs), commercial insurance, and alternative payment models.
  • Serve as a member of the quality assessment and assurance (QAA) and/or the quality assurance and performance improvement (QAPI) committees.
  • Work with the Admission Director and physicians to obtain accurate and complete documentation to support.
Requirements
  • Must possess a current, unencumbered active license to practice as a RN in this state or compact state.
  • Minimum of 2 years MDS experience required.
  • Must know current state and federal regulations: Sections of Appendix PP Resident Assessments and Comprehensive Resident-Centered Care Plans and Medicare and Medicaid Eligibility and Entitlement.