Summary
The MDS Coordinator is responsible for coordinating data for input of the resident assessment instrument, PPS, and CAAs, and the care plan process within the scope of nursing practice with and through the facility-specific interdisciplinary team as delegated by the Clinical Documentation Specialist. The MDS Coordinator must ensure compliance in accordance with current professional practice standards, physician’s orders, The Orchards’ policies and procedures, and local, state, and federal regulations and requirements. Ensures that all appropriate staff receive adequate education and training regarding minimum data set requirements.
Essential Duties and Responsibilities:
1. Effective leadership that includes supporting core values, addressing zero tolerance behaviors, and maintaining active communication with employees working within the MDS process.
2. Tracks Medicare customer days, certifications, and utilization to ensure that the criteria for “skilled services” continues to be met and that documentation supports services provided.
3. Directs the Interdisciplinary Team in ensuring resources affecting RUG levels are provided and communicates opportunities for improvement.
4. Tracks, schedules, and ensures completion of MDS assessments and other components of the RAI process, in accordance with OBRA and Medicare schedules as delegated by the Clinical Documentation Specialist.
5. Directs the Interdisciplinary Team in the development, revision, and facilitation of resident-specific Care Plans.
6. Directs and facilitates communication among the Interdisciplinary Team in relation to scheduling changes, established MDS reference dates, and deadlines for completion to ensure the most appropriate RUG utilization and Quality Measure Management.
7. Completes or oversees completion of admission and discharge tracking forms, Medicare certifications, and maintains a system for identification of specific dates in relation to admissions, re-entry, and discharge.
8. Implements and evaluates the organization’s restorative nursing programs as delegated by the Clinical Documentation Specialist.
9. Monitors and audits MDS’, CAAs, and care plans completed by others to ensure accurate and appropriate data is collected.
10. Implement and evaluate Quality Measure management activities for the organization’s skilled nursing facilities.
11. Maintains a comprehensive knowledge of the MDS, Medicare, Insurance, and any other required systems or measures in relation to the overall RAI process.
Other Responsibilities:
1. Attend and direct Medicare/Utilization Review meetings to maximize case mix and minimize negative quality measure outcomes.
2. Serves as a resource for others in relation to the MDS, RUGS, and state-specific case-mix system.
3. Trains any individuals responsible for completion of the MDS.
4. Provides coverage for nursing staff as needed.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Graduate of an accredited school of nursing and successfully passing practical nursing licensure exam. Requires at least twelve months of experience or equivalent combination of education and experience. Complete annual state mandated training requirements (Regular In-services as well as any external training).
Certificates, Licenses, Registrations
Licensed Practical Nurse license in West Virginia and Ohio required. Requires periodic renewal through re-certification or continuing education.
Other Skills and Abilities
Nursing skills specific to geriatric residents are needed. May need additional skills with special-need geriatric residents, such as those with dementia, Alzheimer's, or those requiring advanced health care.
The individual must possess the following knowledge, skills, and abilities and be able to explain and demonstrate that he/she can perform the essential functions of the job,
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