RESPONSIBILITIES: The MDS Coordinator will assist the Administrator and Director of Nursing with ensuring that documentation in the center meets federal, state and certification guidelines. The MDS Coordinator will coordinate the RAI process assuring the timelines and completeness of the MDS, CAAS and Interdisciplinary Care Plan.

QUALIFICATIONS:

· Must have current LVN or RN license

· CPR certification required

· Ability to understand, remember, and carry out verbal or written instructions in English

· Ability to complete assignments in a timely manner

· Ability to be flexible and positive with intermittent interruptions

· Must be capable of performing the Essential Functions of this job, with or without reasonable accommodation

· Minimum of two (2) years of nursing experience in Skilled Nursing Facility preferred

· Excellent knowledge of RAI Process, the federal Medicare PDPM process and Medicaid reimbursement as required.

· Thorough understanding of the Quality Indicator process and Texas QIPP

· Knowledge of the OBRA regulations and Minimum Data Set

· Knowledge of the care plan process

ESSENTIAL FUNCTIONS:

· To assure resident safety

· Assist the facility in assuring adherence to federal and state regulations and certification

· Report trends from completed audits to the Quality Assurance Committee

· Assures the completion of the RAI Process from the MDS through the completion of the plan of care

· Initiates and monitors RAI process tracking, discharge/re-entry and Medicaid tracking forms through the EHR system and designated platforms

· Follow-up with staff when necessary to ensure compliance with standards of documentation.

· Collect data for each resident and interviews staff and residents as necessary to ensure a good standard of practice and as instructed in the RAI User manual.

· Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs

· Provides interdisciplinary schedules for all MDS assessments and care plans as required by OBRA and PDPM

· Ensures that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manual.

· Responds to change in conditions appropriately

· Ensures all MDS information and care delivered as outlined in the Care Plan is supported by documentation.

· Assist the Administrator/Director of Nursing with monitoring to ensure that a care plan is initiated on every patient upon admission to the center

· Participates either in person or via written communication in the daily Interdisciplinary Team meeting as indicated/available and communicates needs for changes in PDPM Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care Plan

· Relays and/or acts upon information from the Clinical Reimbursement Specialist audits

· Ensures appropriate Medicare coverage through regular communication with Clinical Reimbursement Specialist

· Sequence appropriate diagnosis coding for residents

· Corrects and ensures completion of final MDS and submits resident assessment data to the appropriate state and federal government agencies in a timely manner

· Ensures timely submission of the MDS to the state with proper follow up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion

· Maintains confidentiality of necessary information

· Maintains assessment on the active clinical record for at least 15 months

· Remains proactive with staying current on all industry changes

· Assist with OIG reviews, ADR’s, RAC audits, etc. as needed.

· Participates in monthly Triple Check meeting for medical billing compliance as indicated/available.

· Completes LTCMI timely on TMHP portal and communicates with BOM regarding payer changes to ensure no loss in Medicaid payment

· Maintain regular attendance in accordance with company policies.

· Use tactful, appropriate communication in sensitive and emotional situations.

· Promote positive public relations with team members, residents, family members and guests.

· Professional work place behavior.

· Adhere to dress code at all times.

· Assist with activities, marketing and special function planning and preparation.

· Perform other duties as assigned.

· These duties are not all-inclusive but provide minimum performance expectations and will be reviewed in the performance process.

PHYSICAL REQUIREMENTS:

Have the ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, reaching, and lifting up to 50 pounds with or without reasonable accommodations.

WORK SCHEDULE:

As assigned, may include evenings, weekends, holidays and be in call rotation as assigned; Non-Exempt position.

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AA/EEO/M/F/D/V

EXPOSURE RISK CATEGORY:

Medium

BENEFITS:

At Abri Health Services we believe in providing our patients with a well-trained staff in a positive and encouraging environment. We provide each of our team members with opportunities for personal and

professional growth in a team-oriented working environment. We offer competitive pay, excellent benefits, and the chance to grow professionally in the healthcare industry.

Other benefits of the MDS Coordinator role include:

· Medical, Dental, and Vision Insurance

· Life Insurance

· Short Term Disability

· Long Term Disability

· Vacation and Paid Time Off

· Holiday Pay

· Training for CEU’s Credits