Part-time MDS Coordinator (RN) - Allegria Village
Dearborn, MI 48126
About the Job
Allegria Village, a senior living community in Dearborn, is currently looking for a part-time MDS RN in our Skilled Nursing Facility. (Must have RN licensing).
Overview:
-The MDS LPN Nurse is responsible for gathering information on a healthcare facility's current and future patients for future assessment, including physical and mental states.
-The MDS (Minimum Data Set) Coordinator has responsibility for ensuring accurate, and timely completion of the RAI (Resident Assessment Instrument) process.
-The MDS Coordinator must understand both how to correctly code the MDS and how the MDS data is being used in multiple government programs.
-The MDS Coordinator assists with case management of all skilled residents, both Medicare Part A and managed care.
-The MDS Coordinator must be able to provide organizational data to support quality, regulatory, and financial outcomes.
-The MDS Coordinator must complete tasks to ensure that Allegria Village complies with accuracy and timeliness standards as listed in Federal and State Regulations and the RAI Manual.
-Each MDS Coordinator is responsible for an assigned set of resident rooms.
Job Responsibilities:
• The MDS (Minimum Data Set) Coordinator has responsibility for ensuring accurate, and timely completion of the RAI (Resident Assessment Instrument) process. Specific duties for each set of assigned rooms include:
• Review all admissions for completeness of the electronic record. This includes opening assessments in accordance with Federal requirements as listed in the RAI Manual.
• Prepare assessment schedule and notify all disciplines of said schedule.
• Ensure that resident diagnosis coding is complete; review during completion of both scheduled and unscheduled MDS assessments. Ensure the diagnosis list is correct for billing and includes therapy diagnoses. Review with physician and clarify any diagnoses requiring documentation.
• Complete and document Resident interviews as required by Federal and State agencies.
• Complete MDS assessments in accordance with the RAI Manual. Be able to stand in for other departments if needed to include all interviews and MDS data entry.
• Ensure all skilled hard copy and electronic tracking tools and spreadsheets are updated per company policy
• Ensure resident records are complete; liaise with nursing and other departments as needed to coordinate completion of records and data tools.
• Prepare and track electronic paperwork submissions to managed care companies for insurance coverage; provide overall management of skilled authorizations.
• Prepare and track electronic paperwork submissions to federal and state agencies. This includes the MDS and Michigan LOCD. Maintain a hard or electronic copy of all Final Validation Reports for 7 years.
• Liaise with discharge planners, social services, therapy, admissions, clinical, and leadership staff to ensure good discharge planning and promote positive outcomes.
• Assist with facility audits and inspections including claims reviews, ADR (Additional Documentation Requests), and state/federal surveys. This includes updating the CMS 671/802.
• provide the CMS reports from CASPER (Certification and Survey Provider Enhanced Reports) and iQIES(Internet Quality Improvement and Evaluation System) to the Administrator, Director of Nursing, and leadership. Each report provides valuable feedback and can also inform the quality improvement efforts of the facility. Reports include but are not limited to:
-multiple MDS related reports
-multiple reports for SNF (Skilled Nursing Facility) Quality Measures
-the Review and Correct report for the SNF Quality Reporting Program (QRP)
-the Confidential Feedback reports for the Value-Based Purchasing (VBP) program
• Provide education/clarification to nursing staff and other disciplines as needed for both data collection and MDS completion
• Other duties as assigned
Qualifications:
• Must understand both how to correctly code the MDS and how the MDS data is being used in multiple government programs.
• Complies with accuracy and timeliness standards as listed in Federal and State Regulations and the RAI Manual
-Must have 1-year of MDS experience in Skilled Nursing
Education/Certification
• Registered Nurse from Accredited School in compliance with regulations of the state.
• Current CPR, First Aid, and AED certifications
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Must be able to lift a minimum of 50 lbs.
• Walking, standing, pushing, stooping, bending, stretching, and typing.
• While performing the duties of this position, the employee may come into contact with people with communicable diseases.