MDS Coordinator LPN LVN LNAC

About the Role

Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve. We build on trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills to shape the culture in our workplace. Our mission is to “Improve every life we touch by providing exceptional healthcare and exceeding expectations,” guided by five Core Values: Integrity, Excellence, Compassion, Teamwork, and Stewardship, as well as 12 Service Standards.

Diversicare provides post-acute care services to patients and residents at 48 skilled nursing and long-term care centers in five states, primarily in the Southeast, Midwest, and Southwest United States.

Responsibilities

• Facilitates the RAI Process under the direction of an R.N. or DNS.
• Works in collaboration with the interdisciplinary team to identify the needs of the patient/resident.
• Coordinates and conducts the daily Case Management meeting.
• Ensures timely MDS assessments according to state and federal regulations.
• Ensures the interdisciplinary team completes designated sections of the MDS assessment.
• Ensures and completes accurate coding of the MDS assessment with information obtained via medical record review, observation, and interview with center staff, patients, residents, and family members.
• Ensures documentation is available to support accurate coding of the MDS assessment.
• Maintains the tracking system of MDS assessment schedules (timeframes and due dates).
• Facilitates Care Plan conferences with the interdisciplinary team, patient, residents, and families.
• Obtains, reviews, and maintains all State and Federal reports, making appropriate corrections timely.
• Monitors Quality Measures and ensures that MDSs are accurate to support and reflect the Quality Measures.
• Provides education related to the RAI Process.
• Coordinates and completes electronic submission of required documentation to the State database and other entities per company guidelines and State and Federal regulations.
• Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely (e.g., certifications, denial letters, skilled documentation, coverage criteria, etc.).
• Provides Managed Care case management at the center level.
• Reviews Additional Documentation Requests (ADRs) with Health Information Management Coordinator (HIMC) to ensure all documents are available and meet the request.
• Participates in billing reviews (Triple Check) to ensure claims have supporting MDS assessments documents.
• Participates in Quality Assurance and Process Improvement Activities.
• Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAI Process, and computer technology updates.
• May be required to fulfill the job functions of a direct care nurse as determined by the needs of the patients/residents and center.

Requirements

• Must hold current LPN nursing license in the state of employment.
• Experience in Long Term Care.
• Computer skills.
• Knowledge of Medicare, Managed Care, and RAI Process.
• Participating in the LPN to RN Back to School transition program.

Benefits

• Medical/Dental/Vision
• Excellent 401k plan
• Tuition Reimbursement
• Vacation, Holiday, and Sick Time
• Long and Short Term Disability
• Employee Assistance Program
• Life Insurance
• Referral Bonuses
• DiversICARE - employee hardship fund
• Pay advancement program - OnShift Wallet