MDS Coordinator

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

The MDS Coordinator will be responsible for the completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures. This role will act as an in-house case manager, considering all aspects of the residents' care and coordinating services with physicians, families, third-party payers, and facility staff.

• Resident Assessment Instrument (RAI) Completion: Oversees the accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs), and Care Plans, in accordance with current federal and state regulations and guidelines that govern the process.
• Case Management: Acts 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.
• Regulatory Compliance: Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impact resident care, and any additional information that affects the clinical and operational outcomes of the Facility/Community.
• MDS Requirements: Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures the RUG score, which reflects the care and services provided.
• Payer Requirements: Demonstrates an understanding of MDS requirements related to varied payers, including Medicare, Managed Care, and Medicaid.
• Electronic Submission: Ensures timely electronic submission of all Minimum Data Sets to the state database. Reviews state validation reports and ensures that appropriate follow-up action is taken.
• Care Management Process: Facilitates 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.
• IDT Education: Directly educates or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees involved with the RAI process. Teaches and trains new or updated RAI or company processes to interdisciplinary team (IDT) members as needed.
• QI/QM Data Analysis: Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis.
• Utilization Review and Triple Check: Responsible for timely and accurate completion of Utilization Review and Triple Check.
• Committee Participation: Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator.

• Registered Nurse: Registered Nurse with current, active license in the state of practice.
• Clinical Experience: Minimum two (2) years of clinical experience in a healthcare setting.
• Long Term Care Experience: Minimum of one (1) year of experience in a long-term care setting.
• Prior Experience: Prior experience as an MDS Coordinator accepted.
• Training Program: Training program available for RN candidates with demonstrated assessment skills.