Loretto Management Corporation

MDS Coordinator RN

Department
Loretto Health & Rehabilitation - Nursing Administration
Type
Regular Full-Time
Shift
First
Weekends Required?
No

Overview

The MDS Coordinator RN optimizes and coordinates the RUGS III process as well as MDS for non-Medicare residents. Ensures facility compliance with third party agency regulations with respect to the MDS process. Educates staff on changes to regulations.

 

Responsibilities

 

  • Actively participates in resident care and discharge planning sessions.
  • Uses Loretto nursing practice standards to demonstrate appropriate assessment, evaluation and planning of resident care.
  • Communicates significant clinical changes in the resident that would alter the care plan.
  • Assesses resident's status as per regulations. Confers with team to ensure comprehensive assessment.
  • Effectively assists family members with Medicare issues as required.
  • Adheres to corporate policy and procedures and third party agency regulations.
  • Completes PRI's as needed for new admissions and discharges.
  • Coordinates and completes schedule of required assessments accurately and timely per regulatory requirements.
  • Completes MDS’s accurately and promptly for timely billing.
  • Monitors admissions for new residents and maintains communications to ensure Medicare eligibility.
  • Completes care plans and/or patient assessments.
  • Completes demand bills for Medicare upon request, timely and accurately.
  • Completes MDS's accurately and promptly and submits for data entry.
  • Monitors for appropriate documentation for the MDS.
  • Maintains current knowledge of third party regulations through seminars, in-services, conferences, etc.
  • Participates in the orientation of new nursing employees. Provides instruction on completion of MDS.
  • Provides in-services to nursing staff on Medicare documentation requirements and changes in regulations as they occur or as required, and monitors for appropriate documentation.
  • Promotes a cooperative and collaborative work environment.
  • Ensures MDS billing is an accurate RUGS III group for each assigned resident. Initiates corrective actions as required.
  • Performs random chart reviews on MDS and care plans. Initiates corrective action as indicated.
  • Reviews PT, OT and Speech minutes via computer as needed to verify the actual number of minutes residents attended therapy per MDS guidelines.
  • Recognizes Quality Measure Indicator triggers on the MDS and follows up to resolve issues.
  • Corrects errors and fatal errors on the MDS.
  • Actively participates as a member of the interdisciplinary team.
  • Actively participates in the case mix process.

 

Qualifications

  • Current NYS license and registration in good standing as a Professional Nurse.
  • 1-2 years’ experience with MDS/PRI scoring in long term care.
  • Current knowledge of MDS guidelines and updates.
  • Thorough knowledge of assessment tools and regulations regarding documentation and reimbursements; good knowledge of resource utilization group scores, Medicare and Medicaid eligibility regulations; including MDS 3.0, PRI, and Medicare Part A requirements.
  • Solid clinical knowledge.
  • Excellent interpersonal and communication skills.
  • Ability to function independently, have flexibility and the ability to work as part of a team.
  • Ability to role model and promote a cooperative and collaborative work environment.
  • Ability to recognize and respond to emergent situations efficiently and effectively.
  • Proficient in EMR, MS Office programs with the ability to learn new software rapidly.

 

                                                                                                       

An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements.

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