Restorative /MDS Director- Palatine Location - ALIYA Healthcare Consulting

Job Summary

The MDS Coordinator will assist MDS and restorative teams regarding proper assessment to residents within their designated facilities. Responsible for assuring compliance with federal and state guidelines regarding RAI process and promoting proper clinical reimbursement for services rendered. RN and MDS preferred.

Essential Job Functions

Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.

Primary Functions

1. Evaluate facility compliance to federal regulations and targets for utilization.
2. Identify areas of concern and assist facility to formulate effective action plans.
3. Review resident clinical records for coverage, utilization, errors, assessments, and accurate transmission.
4. Completion of MDS's

Job Responsibilities

1. Participate in weekly Medicare meetings on the same day and time each week.
2. Monitor and evaluate all Medicare admits/discharges.
3. Review every patient on Medicare.
4. Educate the staff on Medicare rules and regulations.
5. Review ABN tracking form to ensure all copies are in the file and timely.
6. Ensure Physician certification process is followed and in compliance.
7. Review all Medicare charting to ensure skilled need is documented for therapy and nursing daily.
8. Review Documentation to ensure Med B supporting documentation is present.
9. Ensure RUGS 48 process is followed consistently.
10. Ensure facility Restorative Program is in compliance with rules and regulations with supporting documentation.
11. Ensure all supporting documentation is present prior to coding MDS.
12. Ensure timely submission of MDS.
13. Provide Education on all areas within job description and others that may be necessary.
14. Communicate and collaborate with Therapy Company, Administrators, Directors of Nursing, and Compliance specialists in order to resolve any issues.
15. Other duties as assigned by the Administrator and Director of Nursing.