MDS Clinical Coordinator

1 week ago


Culver City, California, United States Prospect Medical Full time
MDS Clinical Coordinator Job Description

The MDS Clinical Coordinator plays a crucial role in ensuring the delivery of high-quality patient care by participating in the coordination of patient admissions and serving as a liaison between patients, family members, and financial organizations. This position requires strong communication and organizational skills to ensure that services needed meet and are authorized, and that financial authorizations are obtained timely and accurately.

Key Responsibilities:
  • Participate in the coordination of patient admissions and ensure that services needed meet and are authorized.
  • Serve as a liaison between patients, family members, and financial organizations to ensure that financial authorizations are obtained timely and accurately.
  • Assist in the preparation and implementation of discharge plans for each resident, including oversight of process, obtaining needed authorization, DME's, and MD Order.
  • Provide ongoing education to staff in Sub-Acute and ongoing CEU program for Certified Nursing Assistants.
  • Ensure accurate and timely completion and submission of the resident assessment instrument, including the MDS, to ensure compliance with regulations.
  • Complete accurate plans of care for all residents.
  • Ensure Medi-Cal Treatment Authorization Request's (TAR) / CalOptima's Authorization Request Forms (ARF), are completed timely.
  • Work with Central Business Office on financial requests and ensure timely and accurate completion.
  • Ensure Re-Authorizations are completed timely and accurately and electronically documented in the designated location(s).
  • Work with Insurance Authorization for PPO's and Managed Care Organizations as needed.
  • Responsible for calculating the PDPM Category the patient falls into (based on data collected), documenting the projected PDPM Category and maintaining daily communication with Nurse Manager/Program Director on resident's status and PDPM categories.
  • Ensure timely transition of all PDPM information to the appropriate state agency.
Requirements:
  • Active, current, and unencumbered Licensure as a Registered Nurse in the State of California.
  • Graduate of an Accredited School of Nursing.
  • AHA Basic Life Support.
  • MDS Coordinator Certification.
  • Ability to read, write, and communicate effectively in English.
  • Ability to work variable shifts, including evenings, nights, weekends, and holidays.
  • Ability to maintain flexibility and composure in a constantly changing environment.
  • Director of Staff Development (DSD) Certification.
  • Current Management of Assaultive Behavior Certification (within first 30 days of employment).
  • Hospital Fire and Life Safety Card (Los Angeles City Employees only).
Preferred Qualifications:
  • MDS Coordinator Certification.
  • Director of Staff Development (DSD) Certification.


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