MDS Coordinator / MDS Nurse

Company: Briarcliff Health and Rehabilitation
Location: South Bend
Posted on: January 26, 2023

Job Description:

Briarcliff Health and Rehabilitation - JOB DESCRIPTION TITLE: Facility, MDS Nurse
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Position Title: MDS Coordinator/MDS Nurse
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Department: Operations/Clinical
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Reports To: Administrator
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Position Summary: MDS nurse will conduct, oversee and facilitate the RAI process with established standards of practice and federal and state requirements. MDS works with the interdisciplinary team (nursing, therapy, dietary, social services, activities, etc.) to develop, revise, update, and maintain a comprehensive care plan and ensure that compliance is maintained with state and federal guidelines. MDS is responsible for attesting to the completion of the Minimum Data Set (MDS), which is the key driver for Medicare payment and many Medicaid reimbursement systems. MDS serves as the expert resource for the Patient-Driven Payment Model (PDPM) and is responsible for complying with ethical standards when setting ARDs, completing assessments, and upholding Medicare requirements.
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Responsibilities/Accountabilities:
- - - - - - - - - Oversee functions related to MDS 3.0 both regulatory and financial including scheduling, ensuring timeliness in completion and submission, CAA and comprehensive care plan, reviewing and correcting validation reports, monitoring for significant change and/or IPA
- - - - - - - - - Attend Medicare/Medicaid meetings, and care plan meetings as designated
- - - - - - - - - Assist to schedule and/or open forms for OBRA and PPS as needed
- - - - - - - - - Will assist to query, clarify, and obtain accurate ICD-10 codes from the physician or physician extenders, input into the Medical Diagnosis sheet, and sequence as required for billing
- - - - - - - - - Update ICD-10 codes quarterly or on re-admission
- - - - - - - - - Responsible for completion and tracking of the Medicare Cert/Recert and uploading of forms weekly
- - - - - - - - - Review PPS and case mix data for assigned region to ensure appropriate utilization from medical record documentation
- - - - - - - - - Be well versed in Medicare skilled care requirements
- - - - - - - - - Provide the MDS IDT and/or other facility staff/consultants with monthly OBRA schedule
- - - - - - - - - Update the comprehensive care plan and designated forms quarterly
- - - - - - - - - Responsible for the use of clinical technology applications
- - - - - - - - - Provide IDT training and cross training in the RAI process -
- - - - - - - - - Focus and anticipate the impact on the following metrics (not all inclusive):
o - - MDS, CAA, and Care Plan Completion and Timeliness
o - - Medicare Meeting Process to include Utilization Review, Weekly Medicare Meeting and Triple Check
o - - Medicaid meeting process
o - - QRP reporting
o - - Appropriate Length of Stay
o - - Correct Reimbursement for care and service provided
o - - Five Star Ratings
- - - - - - - - - Participate in Quality Assurance and Performance Improvement program
- - - - - - - - - Facilitate audits to evaluate accuracy, timeliness, and compliance of MDS related systems as indicated
- - - - - - - - - Ensure resident care and clinical practice meets acceptable standards as defined by nursing practice acts, JCAHO requirements (where applicable) and state and federal requirements
- - - - - - - - - Plan, organize, prioritize, be detailed and meet deadlines
- - - - - - - - - Maintain HIPPA compliance
- - - - - - - - - Foster effective working relationships
- - - - - - - - - Check email/voicemail correspondence daily
- - - - - - - - - Other duties as assigned
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Physical Requirements and Working Conditions
- - - - - - - - - Sitting, standing, bending, lifting, and moving intermittently during working hours
- - - - - - - - - Subject to frequent interruptions
- - - - - - - - - May be required to lift residents, medical equipment, and supplies
- - - - - - - - - Subject to exposure to infectious waste, diseases, and conditions
- - - - - - - - - Must possess sight/hearing senses or use prosthetics that enable these senses to function adequately so that the requirements of this position can be fully met
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Specific Educational/Vocational Requirements:
- - - - - - - - - Minimum of Associate Degree in Nursing
- - - - - - - - - CMAC or RAC-CT certified preferred
- - - - - - - - - Minimum of 2 years as a Licensed Nurse
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Job/Technical Skills:
- - - - - - - - - Good technology skills and experience with basic business software
- - - - - - - - - Excellent verbal and written communication skills
- - - - - - - - - Knowledge of EMR systems or ability to adopt with sufficient orientation
- - - - - - - - - Knowledge of state specific post-acute regulations and guidelines
- - - - - - - - - Knowledge of RAI process
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- - - - - - - - - Knowledge of Medicare and Medicaid regulation
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Keywords: Briarcliff Health and Rehabilitation, South Bend , MDS Coordinator / MDS Nurse, Healthcare , South Bend, Indiana