LTC RN - MDS Coordinator - MyMichigan Health

Summary:

The Minimum Data Set Coordinator is a professional registered nurse responsible for the completion of a standardized assessment tool call the MDS to evaluate the health and well-being of residents in Medicare or Medicaid certified beds. This position may be required to manage patient care and cover for urgent staffing needs. The MDS Coordinator assumes responsibility for administrative duties as delegated by the Director of Nursing including disciplinary action. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The MDS Nurse will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high-risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects with discharge planning efforts, support the coordination and ensure continuity of care with other providers.

Responsibilities:

(50%)* Oversees staff documentation to ensure it is accurately reflects care and supports MDS coding. Supervises care to ensure care plans are followed, meet ethical standards, facility standards and Medicare requirements. Assists the Director of Nursing with remedial action for documentation and care standards that do not meet these requirements. Manages Quality Assurance projects in accordance with Quality Indicators derived from MDS clinical data.

 

(30%)* Encodes computerized assessments for each patient a minimum of every 3 months and in accordance with the skilled Patient Driven Payment Model (PDPM) schedule. Completes an individualized care plan based on the Resident Assessment Protocol (RAPS).

 

(10%)* Is responsible for insurance verifications and authorizations. Completes and ensures delivery of the Notice of Medicare Non-Coverage (NOMNC) at the conclusion of a skilled services.

 

(10%)* Coordinates and participates in Resident Care Conferences following up on any action needed as a result of these care conferences.

 

 

OTHER DUTIES AND RESPONSIBILITIES: 

 

Responsible and accountable for scheduling, completion, accuracy, validation and timeliness of the MDS and care planning process. Reviews medical records and resident care plans for completeness and compliance with State and Federal regulations and standards of practice.

Communicates with medical records, billing, and appropriate individuals regarding insurance and coding issues when identified. Maintains the resident roster and census.

 

Completes the assessment upon admission, quarterly, annually, according to skilled services (PDPM) schedule and annually. Demonstrates strong assessment and resident evaluation skills.

 

Coordinated the development of individualized nursing care plans. Supervises nursing actions toward meeting the goals established in the plan of care including, but not limited to, physical, psychological, social, rehabilitative, educational, and discharge planning needs of the individual.

 

Supervises direct nursing care based on health care practitioner orders supervises medication administration, supervises treatments, supervises the delivery of care in accordance with the plan of care.

 

Assists with any resident / family / staff education needed to meet identified learning needs.

 

Understands necessary computer functions: MDS software and Center for Medicaid and Medicare Services (CMS) transmission of the MDS, Michigan Care Improvement Registry (MCIR) Practice Management, Internet Quality Improvement and Evaluation system (iQIES)

 

Demonstrates critical thinking for patient management.

 

Maintains a high level of confidentiality and ensures patient’s rights in accordance with proper procedures and in compliance with HIPAA (Health Insurance Portability Accountability Act).

Certifications and Licensures:

BLS - Basic Life Support

Required     Equivalent Experience - Required within 90 days of hire or transfer.

 

RN - Registered Nurse

Required     Equivalent Experience -

Required Education:

Education: Associates Degree

Comments: Knowledge of nursing technique as normally acquired through the completion of an RN program and hold licensure in the State of Michigan.

 

Other Information:

EXPERIENCE, TRAINING AND SKILLS:

Working knowledge of the organization’s Infor Lawson, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software.

Knowledge of the Minimum Data Set, practices and procedures as normally acquired through three to five years working in the health care system or similar setting is preferred. Mandatory Occupational Safety and Health Administration (OSHA) training must be done annually according to the Exposure Control Plan. PC software knowledge must include: Excel and Word. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. PHYSICAL/MENTAL

 

REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

 

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

 

Overall vision and hearing is necessary with or without assisted device(s).

 

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

 

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

 

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

 

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

 

Physical Demand Level: Medium. Must be able to occasionally (0?33% of the workday) lift or carry 21?50 lbs., frequently 34?66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67?100% or the workday) 10 lbs.

Other Comments:

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