What are the responsibilities and job description for the MDS Nurse position at St. Luke Health Services?
WAGE RATE - $75K - $85K/Year
GENERAL DESCRIPTION:
MDS (Minimum Data Set) nurse collects and assesses information for the health and well-being resident in Medicare or Medicaid-certified beds. Complies with Federal and State requirements for all MDS sections. Follows facility policy and procedures. The MDS Nurse monitors residents’ health and well-being from the time of admission through the end of their stay. Assist with Quality Assurance and quality measures.
RESPONSIBLE TO: Administrator
DUTIES AND RESPONSIBILITIES: Include, but are not limited to, the following.
QUALIFICATIONS:
GENERAL DESCRIPTION:
MDS (Minimum Data Set) nurse collects and assesses information for the health and well-being resident in Medicare or Medicaid-certified beds. Complies with Federal and State requirements for all MDS sections. Follows facility policy and procedures. The MDS Nurse monitors residents’ health and well-being from the time of admission through the end of their stay. Assist with Quality Assurance and quality measures.
RESPONSIBLE TO: Administrator
DUTIES AND RESPONSIBILITIES: Include, but are not limited to, the following.
- Completes the nursing components of the Resident Assessment Instrument (RAI) process to ensure timely completion of Minimum Data Set.
- Ensures completion of PPS and/or OBRA assessments for both subacute and long-term care as required.
- The MDS Nurse utilizes State and Federal guidelines for the RAI process ensuring documentation meets necessary guidelines and reimbursement standards.
- Gathers information from nursing, dietary, social services, therapy, and physician services to ensure appropriate quality of care and reimbursement.
- MDS Nurse will assist with completing nursing assessments.
- Ensure legal compliance for the facility by following the MDS Process.
- Assists with determination coverage for skilled Nursing services and provide. complete team with documentation information to prevent payment denials.
- Utilizes the RAI, MDS 3.0, QM and QRP manuals to ensure the highest quality of care is provided, documentation supports outcomes and maximum reimbursement is achieved.
- Review 24-hour report for updates and possible change of condition.
- Assists with the Quality Assurance Program as needed.
- Participate in daily review of new admission medical record, MD orders and nursing reports
- Ensure compliance with regulations utilizing the MDS schedule to plan and set MDS ARD
- Maintains and develops on-going MDS schedule
- Audit and analyze MDS data for accuracy
- Works in collaboration with the Unit Managers and unit staff for educational purposes and accuracy of documentation
- Educates members of the IDT as necessary in completion of the MDS and any changes in the MDS process
- Attends weekly Medicare meeting to ensure that eligible residents receive Medicare coverage as appropriate and ensures appropriate documentation is in medical record
- Works with residents, families as needed regarding questions on Medicare benefits and related issues (demand bill)
- Issues NOMNC to residents/responsible party and assists with the appeals process, as needed.
- Completes QA audits as assigned
- Recognizes link between MDS data and Quality Improvement measures.
- Maintains open communication with Medical Staff, Administrator, DON, ADON and Pharmacy consultant
- Attends Nurse Management meetings, Patient Care meetings and any other meetings as assigned
- Performs other tasks as assigned
QUALIFICATIONS:
- Current NYS Licensed Registered Nurse
- Knowledge of MDS 3.0, CAA’s, Medicare and Medicaid Guidelines for coverage and reimbursement
- RAC-CT Certification preferred
- Excellent written and oral communication skills with the ability to work independently and under time constraints
- Long-Term Care Experience
- Basic computer skills
Salary : $75,000 - $85,000