POSITION SUMMARY

Responsible for the coordination of the Resident Assessment Instrument (RAI) process

to ensure accurate and timely completion of resident assessments, in accordance with

Medicare, Medicaid, OBRA and other payer program requirements. Ensures MDS

assessments accurately reflect the physical, mental and psychosocial status of each

resident: ensures appropriate documentation to support services provided.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Have a thorough understanding of all regulations and standards related to the RAI

process (Federal/State regulations and MDS RAI User Manual).

• Completion of the RAI process and management of the MDS department.

• Work in collaboration with the IDT to ensure accurate and timely completion of all

Medicare documents in order to maintain regulatory compliance within the

community. To include but not limited to: Physician certification/ recertification,

NOMNC, SNF ABNs, ABNs, and Letter of medical predictability.

• Work in collaboration with the facility Director of Rehab to ensure the most

appropriate assessment reference date (ARD) and assessment type/combination

are utilized for Medicare/Managed Care PPS Assessments.

• Work in collaboration with the Director of Nursing to ensure necessary nursing

documentation and risk assessments are completed in order to code nursing

services delivered on the MDS.

• Chair the weekly utilization review meeting in accordance with any Paramount

guidance, policy and procedures, in absence of Director of MDS.

• Demonstrate an understanding and assisting in the preparation of clinical, quality

and reimbursement reports.

Participate in the pre-admission process to ensure essential information needed for

MDS/Case Mix coding is obtained from the referral source(s) and meets Medicaid

eligibility requirements when applicable.

• Participate in month end Triple Check, daily PPS meeting and other meetings per

ASL policy.

• Participate in the preparation and timely submission of any Additional

Documentation Requests (ADRs).

• Participate in the community orientation.

• Participate in the training of new associates on the RAI process.

• Provide ongoing training/education to staff regarding RAI process to included but not

limited to: ADL training, interview techniques, skilled services and documentation

guidelines.

• Ensures timely, accurate, and complete assessment of the residents’ health and

functional status during the entire assessment period.

• Accurately code MDS to reflect services delivered per RAI guidelines. Ensures the

accurate and timely completion of all MDS assessments.

• Ensures individualized plans of care with interdisciplinary approach in accordance

with federal, state and local regulations and the established policies and procedures

of Paramount.

• Reviews the validation reports and ensures that appropriate follow-up action is

taken.

• Analyzes Quality Measure reports as a mechanism of quality assurance.

• Functions as an RAI and Clinical Reimbursement resource to the community staff.

• Attends and participates in education, such as but not limited to: ASL webinars, ASL

meetings, RAC-CT, ADL training, and community training.

• Maintains proficiency in the operations of the clinical/MDS software program.

• Maintains proficiency in the ability to transmit data per regulatory standards.

• Maintains confidentiality of pertinent client and employee information to assure their

privacy is protected.

• Participates in the review of quarterly Medicaid reports.

• Supports and upholds all Paramount policies and procedures

EDUCATION AND/OR EXPERIENCE

• MDS 3.0 experience required

• Progressive experience in a long term care setting preferred

CERTIFICATES, LICENSES, REGISTRATIONS

• Graduate of an accredited school of nursing with a current LPN/LVN licensure in the

state of employment

• RAC-CT or willingness to obtain within 6 months of hire and maintain recertification

as required.

KNOWLEDGE, SKILLS AND ABILITIES

• Must possess strong collaborative, interpersonal, organizational, multi-tasking,

verbal and written communication skills, and a desire to create a high-performance,

effective team that can produce consistent, demonstrated results.

• Must demonstrate on an ongoing basis the ability to develop and maintain good

working relationships with co-workers and ministry leadership.

• The incumbent must demonstrate the ability to communicate clearly and concisely

on oral and written form.

• Competencies needed for this position include strong interpersonal relationship

skills, detail oriented, work in collaboration with others, demonstrate a high degree of

integrity and personal commitment, possess strong analytical skills, be able to work

independently and manage multiple deliverables at the same time.

• Ability to function in a matrix environment and demonstrate a passion to succeed be

self- motivated, dependable, committed, and a willingness to see a project through

to its conclusion.

• Working knowledge and proficiency with Microsoft Office is required.

• Ability to work independently, to organize work and maintain good time management

skills.

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• Must have initiative and judgment in assigning tasks, and resolving operational

problems.

• Extremely organized, accurate, and precise

• The ability to work flexible hours as required

• Makes mature judgments, functions independently, is flexible, has personal integrity

and works effectively with personnel.

• Knowledgeable of the rules and regulations related to the MDS/RAI process and

Medicare-A skilled nursing services, Managed Care and Medicaid.

Job Type: Full-time

Pay: $32.00 - $35.00 per hour

Expected hours: 40 per week

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Healthcare setting:

• Nursing home

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Experience:

• MDS: 3 years (Required)

License/Certification:

• Graduate of an accredited school of nursing (Required)

Ability to Relocate:

• El Paso, TX 79911: Relocate before starting work (Required)

Work Location: In person