MDS Coordinator/Case Manager

Join a Team That Makes Every Day Meaningful Mainstay Senior Living At Mainstay Senior Living, we create environments where seniors can live their highest value and we empower our team members to bring that mission to life. Together, we are building workplaces where people grow, feel valued, and make a real impact every single day. A great employee understands that our work is both hard and deeply rewarding. At the end of the day, there bis nothing more satisfying than knowing you helped someone feel safe, cared for, and valued. If you are ready to join a mission driven team that celebrates people, supports growth, and changes lives Wed love to meet you. Apply today and start making a difference. Required Qualifications Must possess a current, unencumbered, active license to practice as a registered nurse in this state. Must have 3 years experience as a registered nurse, one of which includes supervisory experience. Experience with MDS completion preferred. Resident Assessment Coordinator (RAC) training must be completed within six months of hire. RAC Certification is preferred. Major Duties and Responsibilities Coordination of the facilitys Resident Assessment Instrument (RAI) process in accordance with state and federal regulations. Accurate completion of all MDS assessments and any supporting assessments or clinical documentation. Implementation and ongoing evaluation of each residents comprehensive plan of care. Scheduling and leading interdisciplinary care plan team meetings. Auditing medical records for the presence of supporting documentation for all items coded on the MDS.Provide education to department heads, physicians, and other staff as needed. Collaborating with health plans, physicians and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria. Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving in regards to the SNF prospective payment system and quality reporting program. RAI Coordinator Assigned Tasks Utilizes the current RAI Manual as a resource during the assessment coding process. Schedules the Assessment Reference Dates (ARDs) for payment assessments in a manner that accurately captures each residents clinical characteristics for payment classification purposes. Schedules the ARDs for all OBRA (Omnibus Budget Reconciliation Act) assessments daily, monthly, and as needed. Provides a schedule of ARDs and assessment types weekly and as needed to the interdisciplinary team (IDT) in order to facilitate the timely completion of MDS sections and CAAs (Care Area Assessments) by each discipline. Communicates with members of the IDT as needed for timely completion of assessments.

Expected to report any issues with timeliness to the Administrator. Transmits assessments in accordance with current regulations. To facilitate timely receipt of validation reports, will transmit as frequently(daily) as necessary to obtain timely validation of MDS acceptance into the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System data base. Confirms transmission files by review and printing of initial and final validation reports. Corrects any fatal errors immediately and retransmits the assessment until an accepted validation report is received. Addresses non-fatal errors using the

QIES ASAP

System MDS 3.0 Provider Users Guide. Ensures the Business Office designee receives the initial and final validation report that acknowledges the acceptance of the MDS into the

QIES ASAP.

Facilitates the completion and updating of resident care plans with the IDT to reflect each residents current needs. Communicates with the IDT to identify residents in need of a Significant Change in Status assessment, based on criteria in the current RAI manual. Participates in all resource utilization and/or triple check meetings prior to billing of claims associated with payment assessments. Assists with admission, discharge, or care of residents as needed. Attends or participates in continuing education related to the RAI process and related programs.

Completes all Performs administrative duties as assigned, including but not limited to QAPI activities and participation in department or committee meetings. What Youll Love About Working With Us We invest in people who invest in others. Our team members enjoy a strong, supportive culture and a benefits package designed to help you thrive personally and professionally. Comprehensive Benefits Medical, Dental & Vision insurance with multiple plan options Company paid Life Insurance Voluntary benefits: Short Term and Long-Term Disability, Accident, Critical Illness & more Paid Time Off Competitive pay and opportunities for advancement

Pay:

From $38.00 per hour

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person