Skilled Nursing RN MDS Coordinator
Found in: Resume Library US A2 - 6 days ago
JOB CULTURE
The Masonic Homes of California are committed to a culture of Leadership. Our culture is to provide superior service to members, residents and staff through a sound and progressive model of service and care which aligns our mission, vision and operations. We demonstrate excellence in core services and place value on high quality job performance, professional development, effective time management, budget management, workplace safety and resident/employee satisfaction. We are dedicated to disciplined innovation and continuous quality improvement – we are a learning company. We are committed to sharing our knowledge and being an organization that attracts the best and brightest talent. We are team-oriented, caring and honest.
JOB SUMMARY
The Minimum Data Set (MDS) Coordinator is responsible for the MDS assessment process completion, care planning process, and scheduling of MDS assessments. The MDS Coordinator assures maximum reimbursement by: determining payment coverage of each resident from admission to discharge; and by strategically setting Assessment Reference Dates (ARD’s) for the MDS in collaboration with therapy services within the Omnibus Budget Reconciliation Act (OBRA) requirements. This position is responsible for determining Resource Utilization Group (RUG) levels and assisting with admission assessment processes. This position requires on-going education related to rules and regulations regarding MDS process and reimbursement.
JOB RESPONSIBILITIES
Administrative functions
May be involved in the pre-admission assessment in collaboration with the DON, Admissions Coordinator and HIM to determine coverage level for Skilled Nursing Facility (SNF) stay.
Meets routinely and as indicated with the business office regarding billing requirements.
Leads PPS meeting with therapy and unit coordinators to ensure goals are accomplished, review resident's progress, determine reimbursement days used, days left to be used, and overall plan of care.
Coordinates with interdisciplinary team (IDT) dates of discontinuation of qualified Medicare coverage benefits for stay and date of termination notification issued to resident and/or responsible party.
Tracks to ensure necessary certifications/re-certifications are completed and obtained in a timely manner.
Monitors regulatory compliance for completion of MDS/Resident Assessment Instrument (RAI) process.
Attends morning IDT meeting, care plan, and discharge meetings as indicated.
Resident Assessment Instrument (RAI) process
MDS submission/transmission
Quality assurance
Other functions
Supports Nursing staff in their absence.
Attends ongoing educational programs relative to Medicare, Prospective Payment System (PPS), MDS/RAI process, reimbursement changes, and Centers for Medicare and Medicaid Services (CMS) regulatory revisions.
Provides educational training relating to Medicare, PPS, and MDS/RAI process to staff as requested.
Provide direct nursing care as necessary.
Requirements
SKILLS, ABILITIES AND EXPERIENCE
Knowledgeable of the theory, methods, and techniques of nursing.
Knowledge of Medicare and Medical reimbursement principles and methods of implementation.
Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
Ability to maintain composure and cope with stress and frustration.
Knowledge in computer skills with competency in computer applications.
Ability to use office equipment and programs including but not limited to: email, telephone, computer, photocopier, printer, fax and Microsoft Office programs
Ability to communicate clearly in oral and written English.
Ability to maintain regular, consistent and reliable attendance
Knowledge of State and Federal laws and regulations governing Long Term Care
REQUIREMENTS
Graduate of an accredited school of nursing
Current CA RN license
At least 3 years of clinical experience in long-term care nursing with 1 year in a management/administrative or supervisory role preferred
Prior RNAC experience required
Experience in Minimum Data Set/Resident Assessment Instrument/Prospective Payment System in a Skilled Nursing Facility
Resident Assessment Instrument certification preferred; must be certified within six months of the date of hire
Experience with and knowledge of Medicare rules, regulations and documentation requirements
Computer and typing proficiency
Experience with clinical assessment
Benefits
At the Masonic Homes you will have the opportunity to combine your passion for helping people and high ethical standards with the opportunities to advance your career.
In return for your skills and passion, we offer:
A work environment focused on teamwork and support for excellent care
Excellent health, wage replacement and other benefits for you and your family’s well-being
A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan
Investment in your growth through Tuition Reimbursement
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