Job Title:

MDS Nurse Department:

Nursing Reports to:

Administrator FLSA Status:

Exempt About Us:

We are a skilled nursing and rehabilitation community dedicated to the highest standards of senior care. Proudly holding a 4-Star overall Facility Rating with an outstanding 5-Star Quality Measure Rating, we know that clinical excellence begins with precise, holistic assessment. We are seeking a detail-oriented MDS Nurse who is ready to lead out interdisciplinary team and maintain out top-tier outcomes.

Summary:

The primary purpose of your job position is to plan, develop and direct the overall operation of our Reimbursement Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator and or other staff as needed.

Essential Duties & Responsibilities:

Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement Determine potential Resource Utilization Groups (RUGs) Review all applications for admission, communicate results of assessment to the Admission Coordinator Complete and assure the accuracy of the MDS process for all residents, initiate and complete admission care plan Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement Facilitate problem-solving for complicated admissions Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission Weekly UR meetings/Risk meetings a scheduled ICD 10 coding Managed care updates as needed Staff Inservice as needed for accurate ADL/Nursing documentation Work hand in hand with therapy department

Qualifications:

Must have, as a minimum, three (3) years of experience as a supervisor in a health care facility. Education and / or

Experiences:

Must possess, as a minimum, a Nursing Degree from an accredited college or university.

Working Conditions:

• Works in office areas as well as throughout the nursing service area, (drug rooms, nurses' stations, resident rooms, etc.)
• Moves intermittently during working hours
• Is subject to frequent interruptions
• Is involved with residents, personnel, visitors, government agencies / personnel, etc., under all conditions and circumstances
• Is subject to hostile and emotionally upset residents, family members, personnel, and visitors
• Communications with the medical staff, nursing personnel, and other department directors
• Works beyond normal duty hours, on weekends and holidays when necessary. On call 24 hours per day, 7 days per week
• Is subject to call back during emergency conditions (severe weather, evacuation, post-disaster, etc.)
• Is involved in community / civic health matters / projects as appropriate
• Attends and participates in continuing educational programs
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminates
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses
• May be subject to the handling of and exposure to hazardous chemicals
• Maintains a liaison with the residents, their families, support departments, etc.

to adequately plan for the resident's needs

Physical & Sensory Requirements:

• Must be able to move intermittently throughout the workday
• Must be able to speak and write the English Language in an understandable manner
• Must be able to cope with the mental and emotional stress of the position
• Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met
• Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies
• Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination
• Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at time hostile people in the facility
• Must be able to push, pull, move and / or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move and / or carry such weight a minimum distance of 50 feet
• May be necessary to assist in the evacuation of residents during emergency situations

Work Location:

In person