MDS Part time

 Follow regulations to plan, schedule and assure completion of all components of the RAI process for each  resident 

? Utilize medical record, patient assessment and interview, staff interview, family and caregiver interviews as  well as the electronic record to assess patients 

? Utilize medical record, patient assessment and interview, staff interview, family and caregiver interviews as  well as the electronic record to assess patients 

? Utilize software for completion of RAI components ? Utilize software to transmit assessments 

? Assure accurate completion of assessments 

? Assure timely completion of all assessments 

? Support IDT team to schedule and complete care plans reviews 

? Complete CAA’s that trigger and facilitate development of care plans that coordinate with CAA assessments  and MDS assessments 

? Attend meetings to determine changes in resident status to facilitate scheduling of required assessments, to  include Significant Change assessments 

? Maintains schedule of required OBRA and PPS assessments and communicate with IDT team 

? Work with IDT team to plan resident discharges from admission through to discharge ? Assess resident and review medical record to determine appropriate diagnosis coding and enter codes in to  software 

? Complete diagnosis listings, sheets and modify diagnosis codes in relation to changes for patients Job Description  Excellent Resident Care Through Teamwork 

? Coordinate skilled stay for patients following Medicare and Insurance guidelines and contract provisions for  Managed Care Part C patients and Dual eligible skilled Medicaid residents as well as private insurance 

? Gather information for insurance authorizations and coordinate insurance authorizations with Case Managers 

? Gather information as needed for insurance re-authorizations and facilitate obtaining authorizations as needed. 

? Facility contact for insurance updates 

? Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and  insurance patients 

? Review Triple Check components daily, weekly and monthly to assure compliance with skilled services  regulations and contract stipulations. Facilitate team meetings and support for RAI components, Medicare  cert components, diagnosis coding components and other areas as needed 

? Participate in daily meeting with facility rehab coordinator ? Determine, along with IDT team, what the reason for skilled services will be and coordinate care with IDT  team to assure providing these skilled services 

? Initiation, completion of physician/practitioner certifications as needed and assure practitioner signatures and  dates are completed 

? Support the ADR process, and medical records requests by gathering needed information to present to  Medical records to complete requests 

? Review billing process monthly with BOM to assure all required components are accurately reflected on UB04 ? State Specific: CMI, LOCD’s, tracking tools, Part B logs are completed monthly. Assure access and logins  needed to gather and complete required components ? Assure RAI components of regulations are in compliance 

? MDS Focused surveys, coordinate RAI component 

? Five Star Rating System: QM’s and how to access and read reports. Support clinical by communicating QM  flags on an ongoing basis. Support facility team in management of QM’s 

? Complete required in-services monthly 

? Complete MDS focused training as required 

Licensed Nurse in good standing, RN preferred 

Acceptable background check 

Over 21 years of age 

MDS experience preferred Ability to read, write, comprehend and communicate in English, follow oral and written instructions Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, coworkers, managers, other personnel and support agencies 

Able to deal tactfully with people, both in person and over the phone 

Aptitude and ability to use office machines and computer 

Able to make independent decisions and possess problem-solving skills 

Able to exercise discernment and make sound judgments Knowledge of medical symbols, abbreviations and terminology Knowledge of nursing and medical practice and procedures, as well as laws, regulations and guidelines which pertain to  long term care