RN MDS Coordinator

Canyon West of Cascadia - Caldwell, ID (27 days ago)


Canyon West of Cascadia is seeking an exceptional RN MDS Nurse to join our team.

Responsibilities include:

  • Conducts physical assessment of residents on admission, conducting or coordinating the interviewing of each resident for the resident’s assessment schedules.
  • MDS reviews and updates quarterly, annually, and as needed for significant changes in condition.
  • Participates in quality improvement programs.
  • Maintains the MDS and PPS tracking logs.
  • Interacts with staff within the facility, staff of other departments, and family to coordinate care processes of resident assessment and care planning.
  • Conducts training programs for appropriate staff on the completion and use of the MDS and care planning.
  • Manages the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided while conducting concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
  • Tracks Medicare residents to determine continued and appropriate Medicare eligibility and benefit period by determining skilled level of need.
  • Completes the admission and discharge assessments and maintains tracking system for admission/re- entry/discharge including timely completion of certifications and re-certifications for skilled coverage.
  • Manages the data entry function to ensure the accuracy of the MDS and verify electronic transmissions.
  • Coordinates staff for weekly PPS and triple-check meetings. Assures all participants attend, and verifies proper facility forms are used.
  • Assists in the preparation of all requests from appropriate State and/or federal regulatory agencies or agents regarding payment of services (reconsideration, denials appeals, etc.)
  • Maintains transmission data in a systematic format and stores in a safe, locked area
  • Maintains a current and comprehensive knowledge of MDS and Medicare/Medicaid reimbursement.

Job Type: Full-time

License:

  • Registered Nurse (RN) (Preferred)