Mainstreet

MDS Coordinator

US-TX-San Antonio
3 months ago
Job ID
2017-1395
# of Openings
2
Category
LPN/RN/Clinical Services

Role Description

Rapid Recovery Center is dedicated to providing the most effective care in an exceptional environment with a personal touch. As the MDS coordinator, you’ll make sure that we are delivering that care to the highest federal and state standards.

We have incredibly high goals and standards for our care. Working with the chief nursing officer and the administrator, you’ll help us reach those standards. You’ll coordinate and conduct MDS assessments, ensure all documentation is in order and that everything meets applicable guidelines. You’ll also coordinate the RAI process to make sure that everything for MDS, CAA, and the Interdisciplinary Care Plan is completed

Rapid Recovery Center is changing the approach to post-acute care. As the MDS Coordinator, you’ll ensure that we accomplish the goal as effectively as possible and in complete compliance.

 

Overall Responsibilities:

  • Assist the facility in assuring adherence to Federal and State regulations and certification.
  • Actively participate in the regulatory or certification survey process and the correction of deficiencies
  • Report trends from completed audits to the Quality Assurance Committee
  • Assure the completion of the RAI Process from the MDS through the completion of the plan of care
  • Initiate and monitor RAI process tracking, check-in/checkout and Medicaid tracking forms through EMR system
  • Follow up with staff when necessary to assure compliance to standards of documentation
  • Collect data for each patient and interview staff and patients as necessary to assure good standard of practice and as instructed in the MDS 3.0 User Manual
  • Facilitate accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs
  • Provides interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS
  • Assure appropriate signatures are obtained as required in staff signature logs
  • Ensure that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI Manuel
  • Respond to change in conditions appropriately
  • Coordinate scheduling notice of patient care planning conference and assure communication of outcomes/problems to the responsible staff, patient and/or responsible party
  • Ensure all MDS information and care delivered as outlined in the Care Plan is supported by documentation
  • Assist the Administrator/CNO with monitoring to ensure that a care plan is initiated on every patient upon admission to the center
  • Participate in the daily Interdisciplinary Team meeting and communicate needs for changes in PPS Timelines and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care Plan
  • Act as a resource person for computer issues that relate to the MDS process. Contact help desk when indicated. Maintain proficiency in software programs
  • Sequence appropriate diagnosis coding for patients
  • Correct and ensure completion of final MDS and submit patient assessment data to the appropriate State and Federal government agencies in a timely manner
  • Assign, assist and instruct all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes
  • Ensure timely submission of the MDS to the State with proper follow up on validation errors. Maintain valid records from the submission process in a systematic and orderly fashion
  • Maintain confidentiality of necessary information
  • Use tactful, appropriate communications in sensitive and emotional situations
  • Promote positive public relations with patients, family members, and guests
  • Use appropriate workplace behavior and adhere to dress code at all times
  • Maintain assessment on active clinical records for at least 15 months
  • Remain proactive with staying current on all industry changes
  • Assist with OIG reviews, ADRs, RAC audits, etc. as needed with professionalism
  • Coordinate monthly Triple Check meetings for Medical billing compliance
  • Complete LTCMI timely on TMHP portal and communicates with BOM regarding payer changes to ensure no loss in Medicaid payment

What we’re looking for

  • Bachelor’s degree in Nursing is preferred
  • Current state licensure is preferred
  • Current RUG Certification
  • Certified Assessment Coordinator preferred
  • Excellent knowledge of RAI Process, the Federal Medicare PPS process and Medicaid reimbursement required
  • Thorough understanding of the Quality Indicator process
  • Knowledge of the OBRA regulations and Minimum Data Set
  • Knowledge of the care plan process
  • Proficient with computers and documentation and ability to use automated processes
  • Experience with HealthMEDX software a plus

Our Mission: Transform Lives

Mainstreet Health is a division of Mainstreet, the nation’s premier developer of transitional care properties. Mainstreet properties have won the Senior Housing News’ Architecture & Design Award in the skilled nursing category in 2013, 2014 and 2015.

Mainstreet Health uses a disruptive care model that’s based around building an incredible health care environment and providing care that focuses on the patient as a person. When you work with Mainstreet Health, you’re a part of something innovative, something different, and something that’s making a difference in this world — all while being in a place where you love to work. 

 

Our Mission - TRANSFORM LIVES 

Our Vision - BUILD LASTING VALUE 

Our Core Values - 

  • Leading boldly with excellence
  • Disrupting and innovating
  • Inspiring others

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