MDS Assistant - LPN

Responsibilities

• Maintains current knowledge base of guidelines for Medicare/Medicaid providers.
• May conduct pre-admission assessments for Residents seeking admission to the nursing center.
• Evaluates Residents for meeting the criteria for Medicare payment, to include clinical eligibility and availability of Medicare days.
• Supervises interdisciplinary team in completing a comprehensive Resident Assessment Instrument, to include Minimum Data Set (MDS), Resident Assessment Protocols (RAPS) and RAP Guidelines.
• Schedules and certifies on-time completion of RAI process for all Medicare and non-Medicare assessments, according to state and federal guidelines.
• Monitors resident health status to identify significant changes and complete re-assessment process.
• Transmits RAI data to Center for Medicare/Medicaid Services (CMS) on a scheduled basis.
• Communicates with billing personnel to establish Medicare billing accuracy and timeliness.
• Supervises interdisciplinary team in developing a plan of care for each resident based on assessments.
• Provides education for interdisciplinary team, licensed nurses and unlicensed staff to document services provided according to the plan of care.
• Conducts regularly scheduled audits of the services provided by internal and external providers for accuracy and timeliness of documentation to validate billing.
• Explains procedures and treatments to resident to gain cooperation, understanding, and alleviate apprehension.
• Afford assistance in planning, organizing, and leading the Health Center in order to insure competent nursing care for the residents around the clock.
• Works with various clinical services of institution as needed.
• Participates in community quality assessment and improvements programs.
• Maintains compliance to all personnel policies, established community policies and procedures, and Federal and State regulations and standards, including but not limited to HIPAA privacy and confidentiality laws.
• May need to respond as appropriate to personal calls from the Independent Living Center.

Requirements

• Registered Nursing or LPN license in good standing.
• Experience with the CMS Resident Assessment Instrument process.
• Knowledge of OBRA/Federal/State regulations.
• Two years of supervisory experience in a Long Term Care setting preferred.
• Knowledgeable of standards of care and practices applicable to the delivery of geriatric services, complex medical conditions, multiple medical diagnoses, including preventive measures, rehabilitation, and promoting independence.