lpn mds/care plan coordinator - Ypsilanti, MI , USA, United States - Villa at Parkridge

Description

JOB SUMMARY:

To coordinate the development and implementation of all resident plans of care in accordance with State & Federal regulations and facility policies. To communicate each resident's plan of care to facility personnel via the written care plan. To provide ongoing assessment and needed care plan changes as warranted to meet each resident's needs. To assure that direct care personnel (i.e. C.N.A.'s & floor nurses) accurately identify/document resident level of functioning within required time frames. To maintain an accurate care plan calendar to assure that care plans are completed per Federal and State requirements. To coordinate all IDT elements of the care plan process including outside service provider care (i.e. day programming, Hospice, Dialysis, etc.).

DUTIES/RESPONSIBILITIES:

· Coordinates the completion of each resident's MDS in compliance with all State and Federal requirements.

· Calculate triggers and develop resident assessment protocols for initiation of care plan.

· Ensure that MDS's are completed in a timely manner.

· Accurately identifies each resident's level of functioning in accordance with RAI manual guidelines.

· Ensure that each MDS accurately identifies the lowest level of functioning allowable to maximize reimbursement opportunities as allowable by Federal and State law.

· Ensure that C.N.A.'s, nurses and other IDT disciplines have accurately completed required clinical record documentation in order to correctly complete MDS scoring. Ensure that this record completion is performed in a timely manner.

· Coordinate and/or assist with weekly interdisciplinary care conferences and Medicare meetings.

· Make all necessary referrals to nursing and therapy departments to ensure appropriate implementation of nursing and rehab services.

· Maintain MDS and supporting clinical record documentation according to State & Federal requirements and in conjunction with Facility policies/procedures.

· Coordinate in conjunction with the MDS the completion of each resident's care plan in compliance with all State and Federal requirements.

· Develop a plan of care that incorporates all IDT elements to assure all resident care needs are met.

· Review and assess all resident information (including hospital records) to accurately complete plan of care.

· Ensure that needed changes/updates to each resident's plan of care are completed in a timely fashion to meet all acute changes are met.

· Review Accident & Incidents, 24-Hour charting, IDT member communications, significant changes and/or any other topic(s) to monitor/implement possible care plan updates.

· Ensure that C.N.A.'s, nurses and other IDT disciplines have accurately completed required clinical record documentation in order to accurately and comprehensively create each resident plan of care.

· Coordinate, Lead and/or assist with weekly interdisciplinary care conferences and Medicare meetings as directed by the Administrator.

· Make all necessary referrals to nursing and therapy departments to ensure appropriate implementation of nursing and rehab services.

· Maintain care plan documentation according to State & Federal requirements and in conjunction with Facility policies/procedures.

· Participates in the coordination of resident services through departmental and appropriate staff committee meetings (Quarterly Quality Assurance and Assessment Pharmacy, Infection Control, and Resident Care Policy and Procedure meetings).

· Ensures that all nursing staff (C.N.A. and Licensed nurses) is aware/trained of their responsibilities for care plan implementation. Provide written plans of care and C.N.A. care plan cards to ensure that care plan problems, goals, approaches and interventions are consistently performed by direct care staff. Monitors direct care staff's compliance with this requirement and provides additional training, education and/or disciplinary actions as deemed appropriate.

· Participates in the coordination of resident services through departmental and appropriate staff committee meetings (Quality Assurance and Assessment, Pharmacy, Infection Control, and Resident Care Policy and Procedure meetings).

· Review and assess all resident information (including hospital records) to accurately complete MDS scoring.

· Ensures that all nursing staff (C.N.A. and Licensed nurses) is aware/trained of their responsibilities for clinical record documentation as it pertains to timely scoring of the MDS. Monitors staff's compliance with this requirement and provides additional training, education and/or disciplinary actions as deemed appropriate.

· Assists with the orientation of new employees related to documentation requirements, utilizing appropriate computer application.

· Ensures Medicare claims relating to MDS pending and therapy pending errors are corrected.

· Generates MDS Audit Reports as requested by Regional staff.

· Verifies Medicaid billing is accurate according to guidelines.

· Verifies and maintains accurate billing for HMO and VA residents per guidelines.

· Compiles monthly and quarterly Medicare/Medicaid default reports.

· Ensures MDS submission and report processing (Casper Reports, Validation Reports, etc.) are prepared and distributed.

· Identifies MDS/Census and Accounts Receivable errors for correction as it pertains to facility billing information.

· Provides secondary training on (clinical software) and Care Tracker.

· Ensure that all elements of the facility's Abuse & Neglect policies are maintained and enforced.

· Strictly follows policy and safeguards computer passwords and computer use authorities. Understands the importance of logging on and off the computer clinical record system and will consistently maintain all computer protocols.

· Knows and follows facility rules.

· Demonstrates proper use of equipment. Reports equipment needs or repairs.

· Follows facility-smoking policies.

· Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate facility personnel.

· Reports all hazardous conditions/equipment to Supervisor.

· Performs duties, which may include transportation of residents, as assigned in Facility Disaster Plan.

· Uses required protective equipment.

· Follows infection control standards, policies and procedures

· Knows Resident Rights. Helps the residents exercise and/or protect their rights.

· Reports resident/patient complaints to management.

· Maintains confidentiality of resident/patient information.

· Follows and adheres to Villa's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information.

· Uses and/or discloses only minimum amount of Protected Health Information necessary to complete assigned tasks. (Applies only if position requires access to PHI under Role Based Access Grid.)

· Reports all suspected violation of company's HIPAA policies or procedures to Facility Privacy Designee.

· Serves on facility Quality Improvement Team as instructed.

· Performs other duties as assigned or as necessity dictates.

· Actively assists with the management of the Annual Survey process.

REQUIRED SKILLS/ABILITIES:

· Working knowledge of the MDS process and assessment information necessary for billing Medicare, Medicaid, HMO, and VA.

· Strong computer related skills.

· Experience using computer systems and software including proficiency in Microsoft Office Word and an email system.

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