Job Description
Position Summary:
The MDS Coordinator is responsible for completing and submitting the detailed, federally mandated RAI and for integrating the data to develop a comprehensive plan of care for each resident. The MDS Coordinator assures that each discipline completes his/her component of the assessment in a timely and accurate manner.
Core Responsibilities:
Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames.
Assesses resident through physical assessment, interview and chart review
Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning
Coordinates, identifies, and/or initiates significant change MDS
Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff
Maintain and monitor compliance of state and federal rules and regulations related to RAI.
Refer findings of inaccurate, untimely, or incomplete documentation to the Director of Nursing or Administrator and follow through to ensure timely compliance.
Input information related to the RAI process into the electronic record keeping system.
Assure that care plan dates are scheduled according to regulated guidelines.
Perform the regular duties of an LPN/RN, as needed;
Maintain knowledge and keep abreast of changes related to long term care issues.
Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation
Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement
Determine potential HIPPS codes and expenses associated with a potential admission
Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR
Update disciplines on insurance cuts, changes, and/or appeals
Weekly IDT triple checks for A/R billing accuracy
Coordinates and conducts PPS/Medicare meetings
Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements
Performs other duties as assigned
Minimum Qualifications:
Minimum 1 year long term care experience required.
Computer literacy skills including basic mouse and keyboard operations. Electronic clinical documentation experience preferred.
Experience as an MDS Nurse preferred
Demonstrates knowledge and experience with level of care determinations.
Excellent leadership skills
Strong organization skills
Ability to relate professionally to all customers
Ability to effectively communicate both orally and written form
Must be able to work independently, self-motivated and goal oriented
Ability to manage stress due to time constraints, responsibilities, emergencies, and interpersonal job demands.
Current BLS certification required.
Education/Training:
High School diploma or GED Equivalent
Graduation from Registered Nurse (RN) or Licensed Practical Nurse (LPN) accredited school
Work Experience:
Must be able to read, write and understand the English language
Prior experience with MDS process is preferred.
Certification, Licensure, Registration:
Current, unencumbered, active license to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Michigan.
AANC certification a plus. RAC-CT
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred
Other Qualifications:
Promotes and protects patients’ rights; treats patients with dignity and respect; reports suspected abuse or neglect.
Enters or records data timely and accurately; protects confidentiality of patient information; protects data against loss or destruction; reports suspected violation of security/confidentiality issues.
Must be willing to accept and work toward progress, change and high standards of accomplishments for self and others.
Have strong interpersonal skills as well as be able to work as a team with strong interpersonal skills.
Must attend and participate in professional activities and programs.
Have the ability to be flexible and perform other duties as assigned.
Working Conditions:
Works in office as well as throughout the facility.
Sits, stands, bends, lifts and moves intermittently during working hours.
Is subject to frequent interruptions.
Is subject to hostile and emotionally upset employees, residents, family members, etc.
Communicates with the medical staff, nursing staff, and other foundation supervisors.
Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.
May be exposed to blood, body fluids, infectious waste, diseases, conditions, air contaminants etc., including the AIDS and Hepatitis B viruses including COVID-19.
May be exposed to chemicals for cleaning and sanitation purposes.
There may be instances of standing, walking, sitting, bending, stooping, squatting, grasping/gripping, finger dexterity, writing/data entry, lifting/carrying (up to 25 pounds).
There may be instances of climbing stairs, pushing or pulling, reaching above shoulders.