MDS Coordinator

Job Requirements:

• Graduate of an accredited School of Nursing (RN or LPN) with a valid state nursing license.
• One year of long-term care clinical nursing experience is preferred.
• Knowledge of RAI (Resident Assessment Instrument) requirements is preferred.
• Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
• Strong computer, interpersonal, leadership, organizational, and clinical skills.
• Ability to communicate effectively with residents, their families and all levels of the organization.

Responsibilities:

Responsible for coordinating the development and completion of the RAI (Resident Assessment Instrument) in accordance with current Federal and state rules, regulations, and guidelines.

• Directs the facility interdisciplinary RAI process.
• Ensures the validity of all Minimum Data Sets before electronic submission. Assures consistency of documentation between MDS and medical records.
• Ensures the timely electronic submission of all MDS assessments.
• Reviews pre-admission orders and daily chart review for effective treatment management.
• Disseminates any new or updated materials involving the RAI process.
• Audits charts for appropriate Medicare documentation within the guidelines established by CMS.
• Schedules residents for appropriate OBRA, Medicare PPS and/or Medicaid required assessment.
• Completes hands-on assessments with each resident when needed.
• Participating in various committee meetings (i.e., Quality Assurance) as required.
• Providing training for nursing employees to ensure they are knowledgeable of the RAI process.
• Communicating with the Business Administration office and Administrator on a regular basis regarding the case mix scores and how they impact reimbursement.
• Serves as primary contact for Medicare/Medicare Advantage auditing. Gathers documentation and sends to appropriate agencies to complete audits in a timely manner.
• Serves as primary MDS/clinical contact for Medicare billing vendor.
• Coordinates section GG of the MDS with the Therapy and nursing teams.

Serves, as needed by special circumstance, as supplemental effort for…

• Temporary absences of the QAPI/Infection Preventionist position.

• All other duties as assigned.

Additional Responsibilities

• Meets all resident and household needs by actively assisting (to the extent of cross training and certification) in all tasks of the household.
• Ensures that resident rights and responsibilities are honored and met.
• Monitors the community and household response to resident concerns through continuous quality improvement.
• Maintains professional presence when representing Trinity Woods; exhibits degree of professionalism consistent with standards in performance, behavior, and appearance.
• Demonstrates professional development/skills competency in all activities.
• Complies with Trinity Woods’ established safety rules and practices.