MDS RN - Ashley

Job description

Position Summary:
The MDS Coordinator is responsible for completing and submitting the detailed, federally mandated RAI and for integrating the data to develop a comprehensive plan of care for each resident. The MDS Coordinator assures that each discipline completes his/her component of the assessment in a timely and accurate manner.
Core Responsibilities:
• Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames.
• Assesses resident through physical assessment, interview and chart review
• Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning
• Coordinates, identifies, and/or initiates significant change MDS
• Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff
• Maintain and monitor compliance of state and federal rules and regulations related to RAI.
• Refer findings of inaccurate, untimely, or incomplete documentation to the Director of Nursing or Administrator and follow through to ensure timely compliance.
• Input information related to the RAI process into the electronic record keeping system.
• Assure that care plan dates are scheduled according to regulated guidelines.
• Perform the regular duties of an LPN/RN, as needed;
• Maintain knowledge and keep abreast of changes related to long term care issues.
• Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation
• Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement
• Determine potential HIPPS codes and expenses associated with a potential admission
• Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
• Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR
• Update disciplines on insurance cuts, changes, and/or appeals
• Weekly IDT triple checks for A/R billing accuracy
• Coordinates and conducts PPS/Medicare meetings
• Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements
• Performs other duties as assigned

Minimum Qualifications:
• Minimum 1 year long term care experience required.
• Computer literacy skills including basic mouse and keyboard operations. Electronic clinical documentation experience preferred.
• Experience as an MDS Nurse preferred
• Demonstrates knowledge and experience with level of care determinations.
• Excellent leadership skills
• Strong organization skills
• Ability to relate professionally to all customers
• Ability to effectively communicate both orally and written form
• Must be able to work independently, self-motivated and goal oriented
• Ability to manage stress due to time constraints, responsibilities, emergencies, and interpersonal job demands.
• Current BLS certification required.

Education/Training:
• High School diploma or GED Equivalent
• Graduation from Registered Nurse (RN) or Licensed Practical Nurse (LPN) accredited school

Work Experience:
• Must be able to read, write and understand the English language
• Prior experience with MDS process is preferred.

Certification, Licensure, Registration:
• Current, unencumbered, active license to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Michigan.
• AANC certification a plus. RAC-CT
• Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred

Other Qualifications:
• Promotes and protects patients’ rights; treats patients with dignity and respect; reports suspected abuse or neglect.
• Enters or records data timely and accurately; protects confidentiality of patient information; protects data against loss or destruction; reports suspected violation of security/confidentiality issues.
• Must be willing to accept and work toward progress, change and high standards of accomplishments for self and others.
• Have strong interpersonal skills as well as be able to work as a team with strong interpersonal skills.
• Must attend and participate in professional activities and programs.
• Have the ability to be flexible and perform other duties as assigned.

Working Conditions:
• Works in office as well as throughout the facility.
• Sits, stands, bends, lifts and moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is subject to hostile and emotionally upset employees, residents, family members, etc.
• Communicates with the medical staff, nursing staff, and other foundation supervisors.
• Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
• May be exposed to blood, body fluids, infectious waste, diseases, conditions, air contaminants etc., including the AIDS and Hepatitis B viruses including COVID-19.
• May be exposed to chemicals for cleaning and sanitation purposes.
• There may be instances of standing, walking, sitting, bending, stooping, squatting, grasping/gripping, finger dexterity, writing/data entry, lifting/carrying (up to 25 pounds).
• There may be instances of climbing stairs, pushing or pulling, reaching above shoulders.