What are the responsibilities and job description for the Regional MDS Coordinator position at Reliant Care Management Company?
Description:
The Regional MDS Coordinator manages the MDS team in the planning, executing and reporting of Medicare, Managed Care and Medicaid services for skilled nursing facilities in the Poplar Bluff area. This is a hybrid position with minimal travel to assigned facilities once a month. This position also serves as the coordinator for Medicare regulatory audits by CMS or a CMS Contractor. The Regional MDS Coordinator performs the oversight of the daily operation of Medicare services and all compliance audit related activities for Reliant Care Management Company. This position ensures that there is standardization across the various audits conducted; performs internal reviews; and identifies compliance trends that require ad hoc audits. The Regional MDS Coordinator will develop tools for reporting data to leadership, develop risk management strategies, and prepares the organization for audits by external regulators.
This position will cover the Moberly/Northeast Region.
Areas of Responsibility:
MDS Audit planning and standardization. Tracking and trending audit findings and ensuring consistent reporting of identified deficiencies. Assisting in the determination of audit elements and methodology based on organizational risk and identified issues. Oversight of audit development and strategic timing of audits.
Assist the facility through conducting audits for quality measures and value based purchasing program triggers and maximize organizational efficiencies. Develop and implement business process improvements based on consistent findings across the organization. Determining which areas and or processes is to be included in audits. Assist with the categorization of audit findings, development of audit recommendations and creation of corrective action plans (CAPs). Reviewing preliminary audit reports and providing comments for reporting to leadership. Performs analysis of operational processes in preparation for audits by external regulators.
Performs coordination of regulatory audit duties to ensure the efficient and timely submission of document requests. Coordination to include, but not limited to, verifying and tracking data from operational areas, producing compliance audits, reviewing data submissions for accuracy, compiling materials, and uploading requested documentation to regulators.
Education:
LPN or RN (preferred)
RAC-CT (preferred)
Experience:
Skilled Nursing Facility operations
MDS submissions
Medicare/Managed Care
Patient Driven Payment Model (PDPM)
Quality Measures and Value Based Purchasing program
EMR (Point Click Care) auditing and review
Benefits:
Medical Insurance
Dental Insurance
Vision Insurance
Disability Insurance
Employee Assistance Program
401(k)
Life Insurance
Paid Time Off
Additional Benefits:
Telemedicine: $0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.
Unlimited Assistance: Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.
Mayo Clinic Programs: Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.
These additional benefits are available to you without reducing your take-home pay!