MDS RN - Ashley at Pioneer Healthcare Management in Ashley, MI

Position Summary:

The MDS Coordinator is responsible for completing and submitting the detailed, federally mandated RAI and for integrating the data to develop a comprehensive plan of care for each resident. The MDS Coordinator assures that each discipline completes his/her component of the assessment in a timely and accurate manner.

Core Responsibilities:

• Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames.

• Assesses resident through physical assessment, interview and chart review

• Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning

• Coordinates, identifies, and/or initiates significant change MDS

• Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff

• Maintain and monitor compliance of state and federal rules and regulations related to RAI.

• Refer findings of inaccurate, untimely, or incomplete documentation to the Director of Nursing or Administrator and follow through to ensure timely compliance.

• Input information related to the RAI process into the electronic record keeping system.

• Assure that care plan dates are scheduled according to regulated guidelines.

• Perform the regular duties of an LPN/RN, as needed;

• Maintain knowledge and keep abreast of changes related to long term care issues.

• Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation

• Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement

• Determine potential HIPPS codes and expenses associated with a potential admission

• Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement

• Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR

• Update disciplines on insurance cuts, changes, and/or appeals

• Weekly IDT triple checks for A/R billing accuracy

• Coordinates and conducts PPS/Medicare meetings

• Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements

• Performs other duties as assigned

Minimum Qualifications:

• Minimum 1 year long term care experience required.

• Computer literacy skills including basic mouse and keyboard operations. Electronic clinical documentation experience preferred.

• Experience as an MDS Nurse preferred

• Demonstrates knowledge and experience with level of care determinations.

• Excellent leadership skills

• Strong organization skills

• Ability to relate professionally to all customers

• Ability to effectively communicate both orally and written form

• Must be able to work independently, self-motivated and goal oriented

• Ability to manage stress due to time constraints, responsibilities, emergencies, and interpersonal job demands.

• Current BLS certification required.

Education/Training:

• High School diploma or GED Equivalent

• Graduation from Registered Nurse (RN) or Licensed Practical Nurse (LPN) accredited school

Work Experience:

• Must be able to read, write and understand the English language

• Prior experience with MDS process is preferred.

Certification, Licensure, Registration:

• Current, unencumbered, active license to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Michigan.

• AANC certification a plus. RAC-CT

• Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred

Other Qualifications:

• Promotes and protects patients’ rights; treats patients with dignity and respect; reports suspected abuse or neglect.

• Enters or records data timely and accurately; protects confidentiality of patient information; protects data against loss or destruction; reports suspected violation of security/confidentiality issues.

• Must be willing to accept and work toward progress, change and high standards of accomplishments for self and others.

• Have strong interpersonal skills as well as be able to work as a team with strong interpersonal skills.

• Must attend and participate in professional activities and programs.

• Have the ability to be flexible and perform other duties as assigned.

Working Conditions:

• Works in office as well as throughout the facility.

• Sits, stands, bends, lifts and moves intermittently during working hours.

• Is subject to frequent interruptions.

• Is subject to hostile and emotionally upset employees, residents, family members, etc.

• Communicates with the medical staff, nursing staff, and other foundation supervisors.

• Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary.

• May be exposed to blood, body fluids, infectious waste, diseases, conditions, air contaminants etc., including the AIDS and Hepatitis B viruses including COVID-19.

• May be exposed to chemicals for cleaning and sanitation purposes.

• There may be instances of standing, walking, sitting, bending, stooping, squatting, grasping/gripping, finger dexterity, writing/data entry, lifting/carrying (up to 25 pounds).

• There may be instances of climbing stairs, pushing or pulling, reaching above shoulders.