Position Title: Reimbursement and Care Plan Coordinator -MDS

Facility Name: Farwell Care and Rehabilitation Center

Purpose of this position

The purpose of this position is to ensure that residents' needs are accurately assessed to identify the appropriate level of care to be provided by the appropriate payer.

Qualifications

Education: Associate degree

Licensure or Certification: Licensure as a licensed vocational nurse is required. Prefer registered nurse licensure.

Experience: One year as a long-term care nurse with MDS duties required.

Delegation of authority

Authority is delegated to the individual in this position to:

• Review all resident pre-admission and admission information to determine the appropriate level of care and placement in the facility.
• Interview residents, residents' representatives, and others with information related to the MDS.
• Collect all data necessary to complete the MDS accurately.
• Participate in interdisciplinary meetings.
• Review the assessment process to assure that each resident's level of care has been accurately identified.

This position reports to: Director of Nursing

Review resident pre-admission and admission information.

Review resident assessments for accuracy, completeness, and timeliness.

Coordinate with other disciplines for MDS completion.

Review resident RUGS level of care determinations for accuracy.

Compare resident assessments with skilled care documentation to identify concerns.

Review resident assessments with billing statements for all payer sources for accuracy.

Submit MDS and monitor electronic submission of assessments to CMS in a timely basis.

Interview residents, residents' representatives, and others for information regarding the MDS.

Examine residents to collect information related to the MDS.

Review medical records related to the residents' health status to collect information for the MDS.

Enter data into the computer program for MDS assessments.

Create the care plan schedule, notify staff, residents, and responsible parties.

Coordinate and supervise the care plan meeting. Complete care plan documentation

Utilize MDS and CAA data, risk assessments, and consultant notes for care plan creation.

Create 24 hour, 36-hour, 21-day care plan, quarterly care plan updates. and care plan updates based on new conditions or incidents.