What are the responsibilities and job description for the MDS COORDINATOR, RN position at NEWBURGH HEALTHCARE?
MDS COORDINATOR / RN ASSESSMENT COORDINATOR
Your efforts and expertise as an MDS Coordinator / RN Assessment Coordinator at Newburgh Healthcare, ensure that our patients receive the care they need and that we have the necessary resources to provide it. In this critical position, which is vital to helping us continue to provide the highest quality healthcare possible, you will have a direct and meaningful impact on the quality of care that our patients receive. Your outcome-focused work will leave you feeling empowered at the end of each day because you'll know you've made a difference in the lives of our patients. We are seeking qualified candidates who have experience as an MDS Coordinator / RN Assessment Coordinator and are committed to helping our patients and facilities receive the support they need.
GENERAL PURPOSE
Responsible for the completion of the Resident Assessment Instrument (RAI) per federal and state regulations and company policy and procedures. Acts as an in-house case manager by considering all aspects of the resident's care and coordinating services with physicians, families, third party payers and facility staff.
ESSENTIAL JOB DUTIES
- Accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAA's) and Care Plans, per current federal and state regulations and guidelines that govern the process
- Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, ability to identify and capture significant changes in residents, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals, and third-party payers
- Proactively communicates with the Administrator and Clinical Management to identify regulatory risk and any clinical trends that impacts resident care, and any additional information that affects the clinical and operational outcomes of the facility and ensure proper capturing of data for thorough MDS completion and submission.
- Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures PDPM, HIPPS Code/RUG score which reflects the care and services provided
- Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care, and Medicaid
- Ensures timely electronic submission of all Minimum Data Sets to the state database. Reviews state validation reports and ensure that appropriate follow-up action is taken
- Facilitates the Care Management Process engaging the resident, IDT, and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting
- Directly educates, and/or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process. Provides an overview of the RNAC role to new employees that are involved with the RAI process.
- Teach and train new or updated RAI or company processes to interdisciplinary team (IDT) members as needed
- Analyzes QI/QM data in conjunction with facility Clinical Management to identify trends and assist in implementation of interventions to enhance documentation processes by clinical staff.
- Serves on, participates in, and attends various other committees of the facility (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor
CODE OF CONDUCT
Must adhere to the Company's Code of Conduct, Corporate Compliance and Business Ethics policies including documentation and reporting responsibilities.
QUALIFICATIONS
- Registered Nurse with a current, active license in the state of Indiana.
- Must hold and maintain a current CPR certification (or schedule training soon after hire)
- Minimum two (2) years of clinical experience in a health care setting
- Minimum of one (1) year of experience in a long term care setting
- Prior experience as an MDS coordinator with demonstrated expertise
- Must be capable of maintaining regular attendance
KNOWLEDGE, SKILLS, ABILITIES, AND BEHAVIORS
- Clinical assessment skills at the level necessary to meet the job requirements
- Basic understanding of computer technology, including email use
- Knowledge of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care
- Knowledge of Medicare regulations and coverage guidelines as related to skilled nursing
- Knowledge of case-mix guidelines as indicated by state-specific reimbursement model
- Ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies, and procedures, etc., that are necessary for providing quality care
- Proven written and oral communication skills
- Proven decision making and analytical skill with the ability to make independent decisions on a regular basis
- Capable of researching new methods and principles to incorporate them into existing nursing practices
- Must be able to maintain confidentiality regarding patient, employee, and company proprietary information
- Must have the ability to relate professionally and positively and work cooperatively with residents, families and other employees at all levels
PHYSICAL AND SENSORY REQUIREMENTS
- Mobility, reaching, bending, lifting (minimum of 10 pounds), fine hand coordination, ability to read and write, the ability to understand and follow written and oral instructions and directions, ability to travel, and ability to remain calm under pressure.
Job Type: Full-time
Work Location: In person