MDS RN

ABOUT THE AVENUE AT MACEDONIA:

The Avenue is a Post-Hospital Rehabilitation and Skilled Nursing Care Facility built in 2017 that offers a distinctive environment not commonly found in skilled nursing facilities. From our hotel-like environment to our all private suites, the Avenue is committed to providing an excellent level of physical, medical, emotional and spiritual support in an environment of comfort and respect. Our facility provides some of the area’s highest level of rehabilitation, nursing and medical support to individuals needing post-hospital care and services. We are looking for a committed individual with a reputation for being cheerful and friendly as they administer care to our residents.

Summary:
Responsible for the timely scheduling, completion, and transmission of Minimum Data Set (MDS) assessments.

Qualifications: Registered Nurse (RN) preferred

• MDS experience
• Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, co-workers, managers, other personnel, and support agencies
• Able to deal tactfully with people, both in person and over the phone
• Able to make independent decisions and possess problem-solving skills
• Able to exercise discernment and make sound judgments
• Knowledge of medical symbols, abbreviations, and terminology
• Knowledge of nursing, medical practice, procedures, laws, regulations, and guidelines which pertain to long term care

Essential Functions:

• Follow regulations to plan, schedule, and assure completion of all components of the RAI process of each resident
• Utilize medical record, resident observation, resident interview, family and caregiver interviews, as well as the electronic record to assess residents.
• Understand PDPM
• Utilize software to transmit assessments
• Assure accurate completion of MDS exception of requirement of RN signature – if LPN
• Assure accurate completion of MDS – if RN
• Assure timely completion of all MDS assessments
• Support Interdisciplinary Team (IDT) Team to schedule and complete care plan reviews
• Facilitate development of care plans that coordinate with MDS assessments
• Attend meetings to determine changes in resident status to facilitate scheduling of required assessments, to include significant change assessments
• Work with IDT to plan resident discharges from admission through discharge
• review medical record to determine appropriate diagnosis coding and enter codes into software. Review hospital discharge summary to assist with appropriate diagnosis coding.
• Complete diagnosis listings, sheets, and modify diagnosis codes in relation to changes for residents
• Coordinate skilled stay for residents following Medicare and Insurance guidelines and contract provisions for Managed Care Part B and C residents, and Dual eligible skilled Medicaid residents as well as private insurance
• Facility contact for insurance updates
• Facilitate the weekly utilization review of patients on skilled services for Medicare A, and insurance patients
• Review Triple Check components weekly and monthly to assure compliance with skilled services regulations and contract stipulations.
• Participate in daily meetings with facility rehabilitation coordinator to review minutes, ICD10 diagnosis coding, activities of daily living (ADL) scores, and to track change of therapy (COT) needs as well as end of therapy (EOT) needs for PPS assessments
• Determine, along with IDT team, what the reason for skilled services will be and coordinate care with IDT team to assure providing these skilled services
• Review billing process monthly with BOM to assure all required components are accurately reflected on UB-04
• Gather, prepare, and present MDS related operations call information
• Five Star Rating System: QM’s and how to access and read reports. Support clinical by communicating QM flags on an ongoing basis. Support facility team in management of QM’s
• Complete required in-services monthly
• Complete MDS focused training as required
• Perform other tasks, as requested, to meet the goals and objectives of the organization