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RN MDS COORDINATOR

Location:
St. Clare Commons
12469 Five Point Road
Perrysburg, OH 43551

Job Type: Full Time


Description

  • Conducts initially and periodically a comprehensive, accurate, standardized, reproducible assessment of each Resident upon admission, annually (not less frequently than every 366 days) and upon significant change in status as outlined in Chapter 2 of the RAI User’s Manual.
  • Assesses every resident, using the Quarterly item set not less frequently than once every 92 days.
  • Conducts PPS Assessments, including timely opening and completion, as outlined in Chapter 2 and Chapter 6 of the RAI User’s Manual.
  • Ensures clinically accurate coding and completion of the MDS assessments. 
    • Possesses the knowledge and training to successfully assign and sequence ICD10-CM diagnosis codes, according to the ICD-10-CM Official Guidelines for Coding and Reporting. Maintains training to remain current on applicable changes to ICD-10 codes. (The ICD-10-CM Codes and Guidelines are updated each Federal Fiscal Year, or October 1st of every year.)
    • Possesses the knowledge and skills to set the Assessment Reference Date (ARD) for a given MDS assessment on a date that maximizes capturing the highest level of services provided to the resident while upholding Federal and State regulatory guidelines and those outlined in the RAI User’s manual.
    • Ensures that the items, in which, the MDS Coordinator/MDS Nurse signs, and thereby attests to accuracy of in section Z0400 of the MDS, are accurate and supported by documentation in the Resident’s medical record.
  • Transmits data to the national repository (QIES database) in a timely manner as outlined in Chapter 2 and Chapter 5 of the RAI User’s Manual.
  • Ensures accurate completion of the Baseline Care Plan within 48 hours of a Resident’s admission.
  • Ensures the Baseline Care Plan Summary is provided to the Resident/Resident Representative (RR) by the completion of the comprehensive care plan.
  • Develops an accurate and comprehensive, person-centered care plan within 7 days of MDS/Care Area Assessment (CAA) completion, but not later than day 21 of the Resident’s stay.
    • Ensures care plans are periodically reviewed and revised by a team of qualified persons after each quarterly assessment and as needed. The care plan must be prepared and updated by an interdisciplinary team and the Resident/RR and must include:
      • Measurable goals and timetables
      • Strengths and weaknesses of the Resident
      • Services to be provided to maintain highest practicable level of function.
  • Assigns and coordinates the work of health professionals toward accurate and timely completion of MDS assessments and care plans. Provides education to other departments that contribute to the MDS to maintain the accuracy of the assessment.
  • Communicates all MDS schedules and schedule changes either on paper or electronically (may refer the IDT team to the “MDS In Progress List” in Point Click Care (PCC) and/or communicate MDS schedules via email.)
  • Ensures all OBRA MDS assessments due for completion are opened no later than the 28th calendar day of the preceding month. 
  • Performs routine charting duties as required and in accordance with established documentation policies.
  • Participates or leads Utilization Review (UR) meetings, reviewing all Residents receiving skilled services covered under Medicare a FFS and Managed Care/Commercial payers. This meeting should be held at least once a week, preferably on the same day each week.
  • Participates in the Triple Check meeting to help ensure accurate HIPPS codes, days billed, and ICD-10 codes to support services are detailed on the UB-04. This meeting/process should be held monthly and comply with the elements detailed in the CHI Triple Check Policy/Guideline.
  • For managed care insurance, ensures MDS OBRA and PPS assessments required to establish a HIPPS code for billing skilled services are completed following the end of the billing month, with the following exception: a. Completes MDS assessments with an Assessment Reference Date (ARD) after the billing month.
  • For Ohio campuses only – Emails the Business Office Manager (BOM) anytime a Medicaid Resident’s OBRA MDS groups into a PA1 or PA2 State RUG. Additionally, emails the BOM when a Resident who was previously classified in a PA1 or PA2 State RUG, has a new OBRA MDS that reclassifies the Resident in a State RUG category that is no longer a PA1 or PA2. This process is completed to ensure appropriate billing during the period, in which, the Resident is classified in these Low utilization groups (ARD of the PA1/PA2 State RUG-classified MDS assessment through the ARD of the NON-PA1/PA2 State RUG-classified MDS assessment.)
  • May participate in the on-call rotation.
  • Participates as a member of the nursing administrative team by assuring management duties as assigned, such as training, staffing, and floor coverage as needed.
  • Maintains up-to-date knowledge of current standards of nursing practice and procedures as well as laws, regulations, and guidelines that pertain to long-term care.
  • Possesses the ability to complete technical jobs as required.
  • Possesses the ability to effectively navigate the Electronic Health Record (EHR) to collect, input, and submit data necessary for the completion of the RAI process.
  • Possesses the ability to navigate other software systems, in place, to promote accuracy of MDS data (i.e. MDS scrubbing software, ICD-10 coding software, etc.)
  • Customer Service Orientation- Possesses the ability and willingness to meet the needs of all our customers (Residents, families, facility staff, and corporate counterparts.)
  • Performs case management duties for residents under a Managed Medicare, Medicaid, or Commercial insurance products as assigned. (i.e. obtaining prior authorization if needed, sending concurrent reviews, and coordinating with the Managed Care organization to ensure that medically necessary services are authorized until the resident is able to safely transfer to a lower level of care.)
  • Adheres to company policies and procedures.
  • Acts as a role model within and outside the company.
  • Preforms duties as workload necessitates.
  • Demonstrates flexible and efficient time management and ability to prioritize workload.
  • Consistently reports to work on time prepared to perform duties of position.
  • Meets department productivity standards.
  • Strives to meet organization goals.
  • Communicates regularly with other Department Leaders and Managers.
  • Participates in committees to ensure quality of care and compliance (i.e. QAPI)
    • Obtains Quality Measure, SNF QRP reports, and Five Star reports at least monthly to review with the clinical team.
    • Monitors Quality Measures on a continuous basis.
      • Completes and submits modified MDS records if items have been inaccurately coded on the triggering MDS assessment.
      • When appropriate and in accordance with Federal and State regulations, completes and submits a new target MDS assessment when a triggering quality measure has resolved.
  • Participates in care conferences as indicated.
  • Maintains current nursing license and meets all continuing education requirements.
    • Attends all mandatory in-service programs.
    • Adheres to facility policies and procedures.
    • Completes yearly online education program by deadline.
    • Attends employee meetings on a regular basis. In addition to the essential job specific duties listed above, the MDS Coordinator/MDS Nurse shall be required to perform all duties (essential and non-essential) in a manner consistent with the mission and values (compassion, excellence, inclusion, integrity, collaboration) of CHI Living Communities and will be evaluated on such basis. Furthermore, every employee must abide by all campus, departmental, and safety policies, rules, and regulations.

CHI Living Communities has the right to change the job specific duties and specifications required for the position of MDS Coordinator/MDS Nurse from time to time without prior notice


Job Requirements

Education: Associate’s Degree from an accredited School of Nursing. Registered Nurse currently licensed in the state of Ohio.

Obtains: RAC-CT certifications within 1 year from hire and maintains certification.

Experience: Long-term care experience preferred. Currently certified in CPR.