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Prestige Healthcare MDS Coordinator (RN) in Taylor, Michigan

Summary: Responsible for the timely scheduling, completion, and transmission of MDS.

Qualifications:

Education:

§ Graduate of an accredited School of Nursing, RN preferred.

Licenses/Certification:

§ Valid nursing license in the state employed.

§ Valid CPR certification.

Experience:

§ One year of nursing experience preferred.

Essential Functions:

§ Monitors and guides the completion of PPS and OBRA assessments and RAPS.

§ Primary UR Coordinator.

§ Oversees gathering of information for assessments and care plans.

§ Monitors and audits MAR’s, TAR’s, flow sheets, and physician orders.

§ Assesses prospective residents in conjunction with other team members.

§ Obtains data warehoused reports and QI/QM reports.

§ Schedules and facilitates in patient/familiy care conferences.

§ Participates on various committees.

§ Inputs or supervises the input of MDS assessments, the transmissions to the state, and obtaining receipt of validation.

§ Manages the Care Planning process.

§ Performs the functions of a nurse when required, ie. on-call.

§ Performs other tasks as assigned

Knowledge/Skills/Abilities:

§ Ability to communicate effectively with residents and their family members, and at all levels of the organization.

§ Ability to organize and prioritize tasks.

§ Ability to maintain confidentiality.

§ Ability to be accurate, concise and detail oriented.

§ Knowledge of RAI requirements.

§ Ability to work cooperatively as a member of a team.

§ Ability to react decisively and quickly in emergency situations.

Responsibilities:

§ Monitors, guides, and participates in the gathering of data and the completion of all PPS assessments, OBRA assessments, MDS Trackers and Care Plans.

§ Monitors, guides, and participates in the inputting of all PPS assessments, OBRA assessments, MDS Trackers and Care Plans into the facility computer system.

§ Monitors, guides, and participates in the submission of all MDS related data to the state database, and obtains the related validation reports associated with the submitted data.

§ Functions as the facility Medicare Utilization Coordinator.

§ Facilitates the Weekly Medicare meeting.

§ Ensures that all Medicare and Managed Care patients receive their necessary skilled coverage.

§ Monitors, guides, and participates in the downloading of all QI/QM reports and any other requested reports on the CMS State site.

§ Monitors, guides, and participates in the scheduling and conducting of patient/family care conferences.

§ Monitors, guides, and participates in the facility care planning process.

§ Effectively communicates via phone, e-mail, and fax all required information per the Corporate RAI Director.

§ Monitors, guides, and participates in Case Mix maximizing per state specific regulations.

§ Communicates with the Corporate RAI Director the MDS assessments completed to capture acuity changes.

§ Will complete daily retrospective review of Medicare patient nursing documentation for 20% of the current Part A census. Minimum of 3 charts daily.

§ Monitors and guides the facility use of the Skilled Documentation Guidelines for all Part A patients.

§ Monitors, guides, and participates in the Medicare Certification process.

§ Monitors, guides, and participates in the Medicare Denial notice procedure within the facility.

§ Completes daily PPS review with the facility Rehab Director or designee.

§ Monitors, guides, and participates in the facility Triple Check process on a weekly and monthly basis.

§ Reports directly to the DNS.

§ Prepares, completes and provides reports to the Administrator and/or Assistant Administrator.

§ Participates in the Operational and Strategic planning for the facility as needed.

§ Responsible for all other duties as assigned.

Disclaimer:

This description is designed to indicate the general nature and level of work for this position. It is not intended to describe minor duties or other responsibilities that may be periodically assigned.

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