Lead MDS Resource

About the role

This is an exciting opportunity for a MDS Resource serving facilities in Southern Idaho Region. The role offers the tools and autonomy to be successful.

Responsibilities

• Supports facility MDS Coordinators
• Reviews MDS Assessments and discharges
• Oversees MDS 3.0 functions, both regulatory and financial
• Provides on-site consultation for RAI process and attends Medicare/Medicaid meetings
• Reviews PPS and case mix data for assigned facilities to ensure appropriate utilization from medical record documentation
• Maintains current RAI knowledge, Medicaid, Medicare and regulations for post-acute assessment, documentation, and reimbursement
• Supports MDS Coordinators and participates in facility-level evaluation of their performance
• Utilizes PCC and regularly interprets data from the system
• Trains MDS Coordinators at assigned facilities, as indicated
• Monitors and reports on metrics such as MDS, CAA, care plan completion, accuracy, and timeliness
• Monitors Medicare meeting processes including utilization review, Skilled Services meetings, and triple check
• Monitors Medicaid meeting processes and CMIQRP calculation
• Ensures appropriate lengths of stay for residents
• Reports 30-Day post return to acute care ratings
• Ensures correct reimbursement for appropriate care and service provided
• Monitors Quality Measures, including Five Star Ratings

Requirements

• Graduate of a RN program. Bachelor’s degree preferred
• Registered Nurse (RN) license
• Certified MDS Assessment Coordinator (CMAC) or Resident Assessment Coordinator – Certified (RAC-CT) strongly preferred
• At least two years in MDS Coordinator position required