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    MDS Coordinator RN FT IN HOUSE - Morgantown, WV, United States - Morgantown Health and Rehab

    Morgantown Health and Rehab
    Morgantown Health and Rehab Morgantown, WV, United States

    2 weeks ago

    Default job background
    Home Services / Social Care
    Description
    Morgantown Health & Rehab is seeking a FT RN In House MDS Coordinator for our Morgantown, WV location.


    FT RN MDS COORDINATOR TO WORK IN HOUSE

    SUMMARY:
    Develops and completes resident assessments, care plans and oversees reimbursement per Medicare and Medicaid guidelines by performing the following duties:


    DUTIES AND RESPONSIBILITIES:
    An individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and/or ability required. Other duties as assigned.

    • Develops and completes resident assessments.

    This includes but is not limited to:

    timely completes, transmits, and updates assessments; implements CAAs and Triggers; evaluates the condition, medical background, and special assessment/activities of each resident.

    Coordinates interdisciplinary
    meetings to review assessments.

    • Assist with plans of care.

    This includes but is not limited to:
    ensuring timely completion of
    comprehensive care plan for each resident, which is designed to meet medical, nursing, mental, and
    psychosocial needs, and includes measurable objectives to meet such needs; conducting quarterly
    review or other regular assessment; and ensuring care plan is evaluated and revised for each
    assessment or status change, including discharge; coordinating timely review of each resident's care
    plan by interdisciplinary team.

    • Assists with payer coverage matters.

    This includes but is not limited to:
    completion of pre-admission
    assessment; coordinating Medicare and payer coverage; analyzing clinical financial issues for the
    RAI process; communicating concerns to appropriate staff; review clinical and therapy documentation
    to ensure residents are placed in the correct/appropriate resource utilization group (RUG) level and
    assisting with coding; ensuring documentation supports covered services per Medicare charting
    guidelines. Communicates with assessment team regarding complete and accurate assessment
    functions to support billing.

    • Act as Chairperson of the Interdisciplinary Care Plan Team. Works with Interdisciplinary Care Plan
    Team in developing a comprehensive resident assessment and care plan for each resident. Provides
    training to staff in regard to RAI process. Trains, evaluates, monitors and coordinates documentation
    to support MDS.

    • Ensures proper documentation is maintained.

    This includes but is not limited to:
    verification that each
    portion of every assessment is signed and dated by the person completing that portion of the MDS.

    • Performs quality assessment and assurance functions.

    This includes but is not limited to:
    conducting
    ongoing review of quality regarding resident assessment/care plans; regularly auditing RAI process
    for accuracy, timeliness and submission; assisting with audits of MDS process with consultants
    and/or outside agencies; communicating results of internal and/or external audits to staff.

    • Coordinates any record request to validate payment; including notification to the interdisciplinary
    team, development of checklist with dates of service documentation and mailing of the record in a
    timely manor.

    Must be an RN in the state of operation

    #LHHP


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