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MDS Coordinator-Part Time-Senior Care in Racine at Ascension Living

Date Posted: 5/3/2018

Job Snapshot

  • Employee Type:
    Part-Time
  • Location:
    Racine
  • Job Type:
    Nurse
  • Experience:
    Not Specified
  • Date Posted:
    5/3/2018

Job Description

POSITION SUMMARY


Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments, in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures MDS assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to support services provided.
PRINCIPAL DUTIES AND RESPONSIBILITIES


  • Have a thorough understanding of all regulations and standards related to the RAI process (Federal/State regulations and MDS RAI User Manual).

  • Participate in the pre-admission process to ensure essential information needed for MDS/Case Mix coding is obtained from the referral source(s) and meets Medicaid eligibility requirements when applicable. 

  • Work in collaboration with the Director of Nursing to ensure necessary nursing documentation and risk assessments are completed in order to code nursing services delivered on the MDS.

  • Participate in meetings per Ascension Living policy.

  • Participate in the preparation and timely submission of any Additional Documentation Requests (ADRs).

  • Participate in the community orientation. 

  • Participate in the training of new associates on the RAI process. 

  • Provide ongoing training/education to staff regarding RAI process to included but not limited to: ADL training, interview techniques, skilled services and documentation guidelines.

  • Demonstrate an understanding and assisting in the preparation of clinical, quality and reimbursement reports.

  • Participating in the review of quarterly Medicaid reports.

  • Completion of the RAI process and management of the MDS department. 

  • Ensures timely, accurate, and complete assessment of the residents’ health and functional status during the entire assessment period. 

  • Accurately code MDS to reflect services delivered per RAI guidelines. Ensures the accurate and timely completion of all MDS assessments.

  • Ensures individualized plans of care with interdisciplinary approach in accordance with federal, state and local regulations and the established policies and procedures of Ascension Living. 

  • Reviews the validation reports and ensures that appropriate follow-up action is taken.

  • Analyzes Quality Measure reports as a mechanism of quality assurance.

  • Functions as an RAI and Clinical Reimbursement resource to the community staff. 

  • Attends and participates in education, such as but not limited to: Ascension Living webinars, Ascension Living meetings, RAC-CT, ADL training, and community training.

  • Maintains proficiency in the operations of the clinical/MDS software program.

  • Maintains proficiency in the ability to transmit data per regulatory standards.

  • Maintains confidentiality of pertinent client and employee information to assure their privacy is protected.

  • Other duties as assigned.

  • Under the direction and guidance of the Community CEO and the Ascension Living Regional Director of MDS, the MDS Coordinator is primarily responsible for: 

  • The overall management of all OBRA assessments in regards to accurately setting, opening, completing, and submitting timely;

  • The completion of PPS assessments as assigned;

  • Maintaining a thorough understanding of all regulations and standards related to state Medicaid payment methodology.

  • Coordinating the Restorative Nursing program for the community; 

  • Ensuring the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations;

  • Assisting with the completion of the MDS Director job role and responsibilities in his/her absence.


MANAGEMENT RESPONSIBILITIES 



  • N/A

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Job Requirements

EDUCATION AND/OR EXPERIENCE


  • MDS 3.0 experience required

  • Makes mature judgments, functions independently, is flexible, has personal integrity and works effectively with personnel.

  • Previous work experience in a long term care setting preferred


CERTIFICATES, LICENSES, REGISTRATIONS


  • Graduate of an accredited school of nursing with a current RN licensure in the state of employment 

  • RAC-CT or willingness to obtain within 6 months of hire and maintain recertification as required