Clinical MDS and Care Coordination Manager
Role Information
- Location: Wesley Ridge | 225 Taylor Park Drive, Reynoldsburg, OH 43068
- Schedule: Full-Time | Monday thru Friday - with on-call rotation
Who We Are
Life Enriching Communities is a not-for-profit organization that provides exceptional everyday experiences for associates and residents in our vibrant senior living communities. Our values of respect, innovation, spirituality, and excellence guide everything we do, fostering a sense of extended family and teamwork within our community. Our residents are exceptional and kind, and our dedicated associates deliver a high level of service with grace and compassion. Join us in making a meaningful difference in the lives of seniors and their families.
What You’ll Love About Working Here
At Life Enriching Communities, we believe exceptional care begins with an exceptional team. Alongside our warm and welcoming environment, we offer a package of:
- Health, Dental, Vision, Life, and Disability benefits
- Generous Paid Time Off (PTO)
- Retirement Fund with Company Match
- On-Site Gym
- Advancement opportunities
- Beautiful, state-of-the-art facilities
- A supportive team culture
- Work that truly makes a difference
- Excellent patient care ratios that support quality time with residents
You, Our Ideal Candidate
You are a dedicated nurse who brings clinical expertise and compassion to every shift. Your detail-oriented, responsive in critical situations, and committed to delivering the highest quality service and care. You’re also a team player who communicates well and builds trust with residents, their families and colleagues alike.
What is Your Role?
The Clinical MDS and Care Coordination Manager facilitates collaborative care across the skilled nursing unit between residents, associates, and management. In this role, the Clinical MDS and Care Coordination Manager will be responsible for conducting and coordinating the development and completion of the resident assessment (MDS) in accordance with current Federal, State, and local standards, guidelines, and regulations. The Clinical MDS and Care Coordination Manager determines codes to ensure maximum ROI and submits information to CMS. The Clinical MDS and Care Coordination Manager is responsible for conducting assessments, support documentation, and creating care plans geared to restoring and/or maintaining residents/patients to their optimum level. This individual will also support residents and their families in utilizing resources internally and in the community, particularly concerning Medicare and Medicaid. The Care Coordinator will follow a resident prior to their admission, throughout their stay, and post-skilled care to ensure a proper transition to the next level of care. This role is responsible for meeting with residents during their stay to identify and enhance their well-being and ensure their psycho-social needs are met. This position requires excellent communication with interdisciplinary team members, residents, and family members.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
- Organize and schedule care conferences with patients and their families upon admission and quarterly to establish patient-centric goals, review discharge needs, make arrangements for and coordinate community resources if applicable, and complete necessary assessments to assign risk. Perform root cause analysis for any readmission or ER visit following discharge from SNF.
- Consult with physicians and other care team members to assist them in understanding significant social, emotional, and environmental factors related to the patient’s/resident's health issues.
- Organizes and plans discharge process for short-term/skilled residents.
- Participate in care conferences as part of an interdisciplinary team.
- Oversee and complete documentation required for Part A and Part B billing, i.e., Notice of Medicare Non-Coverage and Advance Beneficiary Notice.
- Develops and maintains on-going MDS schedules for each patient.
- Communicates with physicians/nurses/STNAs/co-workers/interdisciplinary team members and families, regarding patient’s clinical condition. Monitors and responds timely and accurately to changes in patient’s condition or response to treatment by initiating assessment action plan.
- Coordinates and gathers data and completes the MDS 3.0 accurately and timely.
- Assures all MDS data is submitted properly, adhering to Federal and State guidelines.
- Coordinates efforts from all resources available, i.e., clients, staff, health care professionals, and the interdisciplinary team, to achieve an optimal plan for each individual care plan.
- On-call responsibilities may include weekends and evenings.
- Assist with reviewing referrals for the Health Center submitted by the Admissions Coordinator.
We are seeking:
- Individuals who exemplify kindness and positivity.
- Those who value teamwork, family, and community.
- A professional who understands how to approach others respectfully and reacts well under pressure.
- Valid Ohio RN or LPN license.
- Previous leadership and healthcare experience in a skilled nursing facility, hospital, or similar environment.
Must possess a customer service background and orientation with demonstrated problem-solving skills.
Demonstrated technical skills related to healthcare technology and data analytics.
Previous experience in MDS, Case Management, or Care Transitions is preferred.
Valid state driver’s license.
Life Enriching Communities is an equal-opportunity employer committed to diversity in the workplace and compliance with the applicable provisions of the Americans with Disabilities Act. We are a drug-free workplace.
