RN MDS Coordinator

Windsor Healthcare
East Orange, NJ, US
Sep 14, 2017
Oct 12, 2017
Contract Type
Job Description

Regulatory Requirements

  • The MDS Coordinator must be a graduate of an accredited school of nursing with current registered nurse licensure by the New Jersey State Board of Nursing.

  • A minimum of three years full-time or equivalent clinical experience is required and a minimum of two years of clinical experience in long-term care nursing with one year in a management/administrative or supervisory capacity is preferred.

  • Comprehensive knowledge of Medicare reimbursement, Medicaid and third party payer regulations is required.

  • Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable.

  • A career history free of abuse, neglect, and professional license violations

  • Assesses and determines the level of care on all Elders/residents/guests who are new in the home;

  • Assumes responsibility for all level of care changes within the home;

  • Participates in homes Quality Assurance Performance Improvement (QAPI) and other meetings, as needed;

  • Coordinates the completion of the interdisciplinary growth plan (care plan). Notifies all disciplines of the care planning schedule;

  • Assumes responsibility for monitoring and reviewing, and transmitting Elder/resident/guest data as part of the electronic transmission of MDS;

  • Performs any work assignments as may be assigned;

  • Teaches care partners to enhance their skill level in providing accurate, timely, and appropriate information into the Elder/resident/guest assessment system;

  • Maintains all operational documentation as indicated;

  • Concerns his/herself with the safety of all home Elder/resident/guests in order to minimize the potential for fire and accidents. Also ensures that the home adheres to all legal, safety, health, fire and sanitation codes by being familiar with his/her role in carrying out the homes fire, safety and disaster plans and by being familiar with current MSDS;

  • Ensures that Elder/resident/guests and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals needs and rights and Well Being;

  • Revenue Optimization:

    • Tracks Medicare Elder/resident/guests to determine continued and appropriate Medicare eligibility and benefit period by predicting subsequent RUGs categories;

    • Performs concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information. Identifies opportunities to enhance reimbursement;

    • Participates in the interdisciplinary care partner team process to communicate opportunities facilitate efficient and effective care plan development and management. Communicates with care team regarding practitioner orders, care plans and changes in condition;

    • Collaborates with Business Office to review RUGs reports and identify RUGs categorization.

  • MDS Schedule and Tracking:

    • Ensures the accurate and timely completion of all MDS assessments;

    • Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the Elder/resident/guests stay;

    • Completes the admission and discharge tracking form and maintains tracking system for admission/re-entry/discharge.

  • Data Entry, Verification, Locking and Transmission:

    • Responsible for the data entry function to assure accurate data entry and electronic transmission of MDS assessments;

    • Verifies accuracy of MDS prior to locking;

    • Verifies electronic transmission of MDS and maintains appropriate records;

    • Ensures timely MDS data entry and transmission function includes:

      • locking each MDS, transmitting via the Internet all completed MDS to the State on a weekly basis,

  • Quality Control:

    • Reviews initial and final validation and error reports and correct as needed.

    • Conducts regular audit of MDS process;

    • Audits medical record to validate that the documentation supports the MDS coding;

    • Assesses and evaluates the outcomes of the MDS process to determine additional training, education and monitoring needs.

  • Education and Resource:

    • Serves as the homes resource for MDS/RUGs;

    • Provides education to the interdisciplinary team as appropriate;

    • Instructs care partners in terminology, language, and format that is required by MDS;

    • Identifies areas of educational need.

    • RN License

Company Description

Windsor Healthcare Communities, a family owned and operated organization, is a respected leader in the industry, providing clinically sophisticated post-hospital medical care and rehabilitation, as well as comprehensive skilled nursing care throughout New Jersey. Windsor is also a recognized leader in promoting an Eden Alternative practice which is person-directed care that cherishes, honors and loves our Elders. A progressive approach to aging, the Eden Alternative stresses choice and fosters a person-directed approach to care, tailoring daily life and activities to individual needs and preferences under the guidance of interdisciplinary teams. We are committed to medical excellence and well-being for all that we serve.

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