MDS Director

PURPOSE: To promote the capture of appropriate clinical reimbursement for services provided while ensuring the highest level of revenue integrity through established reimbursement initiatives. To monitor compliance with all state and federal regulations as relates to MDS completion and coding conventions.

QUALIFICATIONS:

• Registered Nurse with 1 years MDS Coordinator experience or 3 years of LTC experience
• Thorough knowledge of PDPM
• Previous experience with MDS 30
• Computer literacy, Experience with EMR, preferably PCC (Point Click Care)
• Demonstrates excellent organization, communication, and presentation skills
• Exemplifies a deadline-driven, detail-oriented individual with strong analytical capabilities
• Ability to provide senior-level reports and root cause analysis as related to department
• Maintains competency in MDS, Medicaid, and Medicare requirements
• Proficient in current state and federal regulations governing the MDS and billing process within a nursing facility
• Ability to successfully train new MDS coordinators and IDT members with varying levels of experience as appropriate
• Ability to communicate with and elicit support from other IDT members at the facility and/or regional level
• Exhibits reliable, independent, and self-directed work ethic with the ability to lead others

PRIMARY FUNCTIONS:

• Optimize reimbursement and identify opportunities through tracking, trending, and analyzing relevant data
• Strategic planning as relates to reimbursement systems
• Perform compliance and accuracy audits as indicated
• Conduct daily, weekly, and monthly reimbursements meetings as outlined by NHCA
• Complete MDS as necessary to maintain compliance or fill department vacancies
• Initiate Care Plans as necessary
• Provide Care Plan update/review in conjunction with MDS schedule as necessary to maintain compliance or fill IDT vacancy
• Provide insight to facility management of Quality Measures and 5 STAR initiatives
• Attend and contribute to monthly QAPI meeting
• Participate in survey preparedness and remain on-site during surveyor activity
• Respond promptly to inquiries related to MDS and reimbursement
• Establish, submit, and provide follow-up on action plans for negative outcomes related to the department
• Assist with orientation and ongoing education for MDS coordinators and other IDT members as relates to MDS and/or reimbursement processes
• Provide ongoing education and communicate to the Administrator, DNS, or other clinical staff as appropriate

An engaging and supportive work environment where every employee is valued, a rewarding career, and outstanding benefits which currently include:

· 100% Employee Funded Retirement Program (10% of your annual salary)!!

· Student Debt Buy Back Program for Certified Nurse Assistants (up to $5000/yr.)!!

· Nursing Scholarship Program (We’ll pay for your career advancement)

· 5 Medical/RX plans HMO & HAS, multiple dental and vision plans

· 3 weeks of paid time off (increases with tenure)

· Internal Promotions

· Referral Bonus Program

· Employee Discount Programs

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Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Healthcare setting:

• Long term care
• Nursing home

Experience:

• Long term care: 1 year (Preferred)
• MDS: 1 year (Required)

License/Certification:

• RN License (Required)

#Tier1

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Healthcare setting:

• Long term care
• Nursing home

Medical specialties:

• Geriatrics

Work Location: In person