MDS Coordinator (RN)

Ensures assessments accurately reflect the physical, mental and psychological status of each resident; ensures appropriates documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team.

Follows all Next Step Healthcare policies and procedures.

Note: The following duties are illustrative and not exhaustive. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. Depending on assigned area of responsibility, incumbents in the position may perform some or all of the activities described below.

Coordinates timely, accurate, and complete assessment of the resident’s health and functional status during the entire assessment period.

Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the facility.

Tracks Skilled (MRA/HMA/HMO) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Clinical Reimbursement Specialist, Business Office and external Case Managers.

Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification.

Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management.

Ensures the accurate and timely completion of all MDS assessments including PPS, scheduled and unscheduled discharges, Admission, quarterly, annual and significant change.

Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS.

Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the residents stay.

Performs Modifications/Inactivation’s of assessments in accordance with CMS Correction Policy and collaboration with Clinical Reimbursement Specialist.

Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process.

Reviews the validation reports and ensures that appropriate follow-up action is

Reviews Late/Missed assessment reports monthly and addresses issues as

Reviews discharged managed care with BOM on a weekly

Participates in month end Triple Check and other meetings per Next Step Healthcare’s

Facilitates Case Management meeting per Next Step Healthcare’s

Functions as an RAI and Clinical Reimbursement resource to the facility

Utilizes Relias annual competency training as well as for educational resource as

Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations.

Ensures timely RN coordinator

Caring/Compassion

Accountability

Dependability

Adaptability/Flexibility

Effective Communication

Confidentiality

Team Player

Dedication