The MDS Coordinator is responsible for completing and submitting the detailed, federally mandated RAI and for integrating the data to develop a comprehensive plan of care for each resident. The MDS Coordinator assures that each discipline completes his/her component of the assessment in a timely and accurate manner.
Core Responsibilities:
Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames. Assess resident through physical assessment, interview and chart review. Reviews information from hospital, consults and outside services and uses such information in the completion of the assessment and care planning process. Coordinates, identifies, and initiates significant change MDS. Discusses resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Maintains and monitor compliance of state and federal regulations related to RAI. Meets timeframe of accuracy, timeliness, completion of documentation to the Director of Nursing or Administrator and follows through to ensure timely compliance. Input information related to the RAI process into the electronic record keeping system. Assure that care plan dates are scheduled according to regulated guidelines. Perform the regular duties of an LPN/RN, as needed. Maintain knowledge and keep abreast of changes related to long term care issues. Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation. Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement. Determine potential HIPPS codes and expenses associated with a potential admission. Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement. Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR. Update discipline on insurance case changes, as needed. Weekly IDT triple check for all billing accuracy. Coordinates and conducts PPS/Medicare meetings. Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements. Performs other duties as assigned.
Minimum Qualifications:
Minimum 1 year long term care experience required. Computer literacy skills including basic mouse and keyboard operations. Electronic clinical documentation experience preferred. Experience as an MDS Nurse preferred. Demonstrates knowledge and experience with level of care determinations. Excellent leadership skills. Strong organizational skills. Ability to relate professionally to all customers. Ability to effectively communicate both orally and written form. Must be able to work independently, self-motivated and goal oriented. Ability to manage stress due to the uncertainity, responsibilities, emergency, and interpersonal job demands. Current BLS certification required.
Education/Training:
High School diploma or GED Equivalent. Graduation from Registered Nurse (RN) or Licensed Practical Nurse (LPN) accredited school.
Work Experience:
Must be able to read, write and understand the English language. Prior experience with MDS process is preferred.
Certification, Licensure, Registration:
Current, unencumbered, active license to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Michigan. AANAC certification plus, RAC-CT. Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Prospective Payment Process (PPS) strongly preferred.
Other Qualifications:
Promotes and protects patient's rights, treats patients with dignity and respect, reports suspected abuse or neglect. Ensure records date, time and accuracy, protects confidentiality of patient records, protects data against loss or destruction; reports suspected violation of security/confidentiality issues. Must be willing to accept and work toward progress, change and high standards of accomplishment for self and others. Have strong interpersonal skills as well as be able to work as a team with strong interpersonal skills. Must meet all applicable job performance objectives and programs. Have the ability to be flexible and perform other duties as assigned.
Working Conditions:
Works in office as well as throughout the facility. Sits, stands, bends, lifts and moves intermittently during working hours. Is subject to frequent interruptions. Involved with residents, personnel, visitor, employees, resident family members, etc. Communicates with the medical staff, nursing staff, and other foundation supervisors. Works beyond normal duty hours, on weekends, and in other positions temporarily, when necessary. May be exposed to blood, body fluids, infectious disease, odors, air contaminants, etc., including the AIDS and Hepatitis B viruses including
COVID-19.
May be exposed to chemicals for cleaning and sanitation purposes. There may be instances of standing, walking, sitting, bending, stooping, squatting, grasping/gripping, finger dexterity, writing/data entry, lifting/carrying (up to 25 pounds). There may be instances of climbing stairs, pushing or pulling, reaching above shoulders.
