MDS Nurse RN or LVN Orchards at Tulare Tulare, CA Job Details Full-time 1 day ago Qualifications Nursing policy compliance Collaborate with healthcare professionals Care plan evaluation Nursing Skilled nursing facility experience Long-term care regulations Caregiving documentation requirements Medicare LVN Case assessment RN License Medicare coding guidelines Operations coordination Care documentation Mid-level Long-term care facility experience Meeting scheduling Overseeing care coordination Medicare regulations Care coordination meetings experience Clinical assessment documentation Medical record abstraction Multidisciplinary team collaboration for treatment planning OBRA Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medicaid Health status assessment Clinical documentation standards Managing patient records Full Job Description
POSITION DESCRIPTION
Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.
QUALIFICATIONS
Graduate of an approved
RN / LVN
program and licensed in the state of practice, required. 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. Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set. Knowledge of the care planning process. Experience with MDS 3.0, preferred.. Maintains current MDS status of assigned residents according to state and federal guidelines. Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs. Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members. Other duties, responsibilities and activities may change or assigned at any time with or without notice
RESPONSIBILITIES
Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies. 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. Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s). Complies with federal and state regulations regarding completion and coordination of the RAI process. Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding. Maintains current MDS status of assigned residents according to state and federal guidelines. Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs. Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members. Other duties, responsibilities and activities may change or assigned at any time with or without notice.