Skilled Nursing MDS Coordinator

Job Summary

The Minimum Data Set (MDS) Coordinator is responsible for the MDS assessment process completion, care planning process, and scheduling of MDS assessments. The MDS Coordinator assures maximum reimbursement by: determining payment coverage of each resident from admission to discharge; and by strategically setting Assessment Reference Dates (ARD’s) for the MDS in collaboration with therapy services within the Omnibus Budget Reconciliation Act (OBRA) requirements. This position is responsible for determining Resource Utilization Group (RUG) levels and assisting with admission assessment processes. This position requires on-going education related to rules and regulations regarding MDS process and reimbursement.

Job Responsibilities

• May be involved in the pre-admission assessment in collaboration with the DON, Admissions Coordinator and HIM to determine coverage level for Skilled Nursing Facility (SNF) stay.
• Mets routinely and as indicated with the business office regarding billing requirements.
• Leads PPS meeting with therapy and unit coordinators to ensure goals are accomplished, review resident’s progress, determine reimbursement days used, days left to be used, and overall plan of care.
• Covers for other IDT members when needed to complete sections of the MDS.
• Works with IDT to determine if a resident change in status may be occurring.
• Sets dates for assessments and follows guidelines for completion of significant change of condition MDS.
• Generates and distributes monthly care plan calendar for the following month.
• Conducts care plan conferences.
• Develops and updates resident plans of care and CNA worksheet based on MDS triggered areas ensuring the care plans accurately reflect the cares and clinical monitoring provided.
• Reviews all resident incidents and accidents and the 24-hour report daily to ensure that care plans for assigned residents reflect current and changing needs.
• Completes the discharge tracking forms and entry tracking forms as required.
• Tracks completion of MDS’s and transmits in compliance with Centers for Medicare & Medicaid Services (CMS) timelines.
• Reviews validation reports and makes appropriate corrections as needed.
• Informs IDT members of validation errors as appropriate.
• Follows the CMS correction policy when an error is found and in need of correction.
• Prints Quality Indicator Reports as requested.
• Participates in Quality Indicator Report reviews on a monthly basis.
• Reviews identified areas of concern for accuracy of information/documentation.
• Assists in process improvement measures such as staff education, policy and procedure revisions and Quality Assurance activities as needed.
• Maintains clinical record documentation to ensure accuracy and timeliness.
• Advises Director of Nursing Care of persistent issues related to non-compliant documentation.

Requirements

• Knowledgeable of the theory, methods, and techniques of nursing.
• Knowledge of Medicare and Medical reimbursement principles and methods of implementation.
• Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
• Ability to maintain composure and cope with stress and frustration.
• Knowledge in computer skills with competency in computer applications.
• Ability to use office equipment and programs including but not limited to: email, telephone, computer, photocopier, printer, fax and Microsoft Office programs.
• Ability to communicate clearly in oral and written English.
• Ability to maintain regular, consistent and reliable attendance.
• Knowledge of State and Federal laws and regulations governing Long Term Care.
• Education and Experience:
  • Graduate of an accredited school of nursing.
  • Current CA LVN or RN license.
  • At least 3 years of clinical experience in long-term care nursing with 1 year in a management/administrative or supervisory role preferred.
  • Prior RNAC experience required.
  • Experience in Minimum Data Set/Resident Assessment Instrument/Prospective Payment System in a Skilled Nursing Facility.
  • Resident Assessment Instrument certification preferred; must be certified within six months of the date of hire.
  • Experience with and knowledge of Medicare rules, regulations and documentation requirements.
  • Computer and typing proficiency.
  • Experience with clinical assessment.

Benefits

At the Masons of California and its related entities, you will have the opportunity to combine your passion for helping people and high ethical standards with opportunities to advance your career. In return for your skills and passion we offer:

• A work environment focused on teamwork and support for excellent care.
• Excellent health, wage replacement, and other benefits for you and your family's well-being.
• An investment in your growth through tuition reimbursement - $1,500 per year.