Corporate MDS Traveler Position Available In Mecklenburg, North Carolina

Corporate MDS Traveler Twin Pines Healthcare – 2.9 Charlotte, NC Job Details Full-time 23 hours ago Qualifications Skilled nursing facility Medicare Utilization review Resident’s rights RN License Mid-level MDS Point-Click Care LPN Care plans Full Job Description The Corporate MDS Traveler assists the facility to ensure that documentation in the center meets Federal, State, and Certification guidelines. The Corporate MDS Traveler coordinates the RAI process assuring the timeliness, and completeness of the MDS, CAAs, and Interdisciplinary Care Plan. Essential Job Functions Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Residents Rights Ensures that care is provided in privacy Ensures protected health information is kept confidential Reports complaints made by patients to supervisor Reports allegations of patient abuse, neglect and/or misappropriation of patient property Safety and Sanitation Follows established safety policies and procedures Observes safety needs of patients as indicated in care plan Wears and/or uses safety equipment and supplies when indicated and properly trained to use Demonstrates job-specific knowledge of fire and disaster preparedness during drills or actual situations Staff Development Attends and participates in scheduled in-service training, educational classes and meetings to maintain current certification as applicable and as mandated by regulatory agencies and company policies. Participates in QAPI program Attends and participates in Circle of Care Regulatory and Certification Responsibilities Assists the center in assuring adherence to Federal and State regulations and certification. Actively participates in the regulatory or certification survey process and the correction of deficiencies Reports trends from completed audits to the Quality Assurance Committee RAI-MDS, CAAs, Care Plan Responsibilities Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care. Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system. Follows up with staff when necessary to assure compliance to standards of documentation. Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual. Facilitates 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. Assures that appropriate signatures are obtained as required. RAI-MDS, CAAs, Care Plan Responsibilities, continued Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual. (Significant Change and Significant Correction) Assist Director of Nursing or designee with identification of a significant change, physician orders and verbal reports to assure that the MDS and care plan are reflective of those changes. Coordinates scheduling, notice of patient care planning conferences, and assures communication of outcomes/problems to the responsible staff, patient, and/or responsible party. Ensures all MDS information and care delivered as outlined in the Care Plan is supported by documentation. Assist the Administrator/Director of Nursing with the monitoring to ensure that a care plan is initiated on every patient upon admission to the center. Participates in the daily stand-up meeting and communicates needs for changes in PPS Timelines and Assessment Reference Dates, and deficiencies in completion of MDS, CAAs, and Care Plans. Relays and/or acts upon information from the Case-Mix Specialist audits. Acts as resource person for computer issues that relate to the MDS process. Contacts the help desk when indicated. Responsible for ensuring appropriate Medicare coverage through regular communications with Corporate Medicare Operations Specialist. Attends weekly Medicare or Utilization Review meeting as required. Corrects and ensures completion of final MDS and submits patient assessment data to the appropriate State and Federal government agencies. Assigns, assists, and instructs all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes. Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion. Administrative Responsibilities Maintains confidentiality of necessary information. Participates in staff meetings, departmental head meetings and other center meetings and sits on required committees. Follows HCR ManorCare Policies and Procedures manual. Thinks and acts calmly and logically to meet unusual occurrences of the job without being thrown off stride. Performs any miscellaneous work assignments as may be required. Education Graduate of an approved LPN or RN Nurse program and licensed in the state of practice required. Experience Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred. Excellent knowledge of Case- Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. Through understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set. Knowledge of the care planning process. Physical Demands Lifting 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds; Walking, standing, talking, and hearing. Travel At times, overnight travel is required for this position.

This position is a hybrid remote/facility position based on the weekly assignments coordinated by the VP of Clinical Reimbursement Working Conditions