Registered Nurse - MDS Coordinator - Per Diem - Days
Company: Mohawk Valley Health System
Location: Utica
Posted on: February 1, 2025
Job Description:
Job SummaryThe RN - MDS Coordinator will play a crucial role in
ensuring accurate and timely completion of Minimum Data Set (MDS)
assessments, collaborating with interdisciplinary teams to enhance
resident care plans, and maintain compliance with regulatory
requirements. -Identifies resident acuity and needs, helping to
determine specific care needs, and coordinates interdisciplinary
care planning schedule and process. -Core Job Responsibilities
- Coordinates completion of the MDS assessment process with the
appropriate participation from other health care professionals
according to CMS guidelines. -Collaborates with the
interdisciplinary team to develop individualized care plans based
on MDS assessments.
- Schedules required MDS updates with care team, checks for
completion and submits to CMS. Checks CMS reports to ensure
submissions are complete.
- Creates care conference schedules and care plan schedules to
ensure timely interdisciplinary care planning meetings, and to
establish assessment reference period to assure accurate
assessments.
- Tracks insurance dates. -Schedules end of Medicare MDS when
appropriate. -Notifies billing, interdisciplinary care team and
pharmacy of any changes.
- Monitors for any resident changes in condition that may change
scores to increase reimbursement.
- Ensures completion of daily Medicare documentation and Medicare
(re)certifications.
- Initiates and monitors appeals to Livanta. -
- Prepares CMI (Case Mix Index) calculations and certifications
for the State.
- Reviews and prepares QAPI reports from iQIES and CASPER.
- Evaluates care programs and initiates changes as necessary to
ensure compliance with regulatory requirements.
- Communicates State and Federal regulatory revisions to facility
management to maintain awareness/compliance.
- Performs audits, analyzes data and assists with plan of action
to correct identified deficiencies.
- Reviews/analyzes QI/QM data for trends and indicators of
negative outcome and initiates corrective action.
- Coordinates the processing of Medicare determination to assure
timely and accurate billing of resident accounts.
- Consults with other departments as appropriate to collaborate
in resident care, risk management and quality management
activities.
- Provides education to staff on MDS/PRI and care planning.
-
- Assures that resident rights to fair and equitable treatment,
self-determination, individuality, privacy, property, and civil
rights, including the right to wage a complaint, are well
established and maintained at all times.
- Attends and participates in workshops, seminars, etc. to keep
current in MDS related best practices.
- Performs related duties as assigned.
-Education/Experience RequirementsREQUIRED:
- Three (3) or more years of clinical experience in an acute or
long term care care setting. -
- Strong understanding of MDS processes, regulations, and
reimbursement systems (RUGS and PDPM).
- Excellent communication and interpersonal skills.
- Ability to interpret financial and statistical reports. -
- Highly proficient with MS Office, databases, medical software
and the ability to learn new applications rapidly. -
-PREFERRED:
- Three (3) years of experience working as a MDS/PRI
assessor.
- Two (2) or more years of management experience in the health
care field.
- Ability to read, write and speak in other languages. -
-Licensure/Certification RequirementsREQUIRED:
- Meets RN licensure as outlined by current State Registered
Nurse Licensure. -
- Certified as a Resident Assessment Coordinator (RAC) and PRI
assessor or otherwise will obtain certification within the first 3
months of hire. -
- BLS certification. -DisclaimerQualified applicants will receive
consideration for employment without regard to their age, race,
religion, national origin, ethnicity, age, gender (including
pregnancy, childbirth, et al), sexual orientation, gender identity
or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background
verification with an external vendor.
-Job DetailsReq Id -91798 -
Department -UTILIZATION SERVICES -
Shift Days
Shift Hours Worked -7.50
FTE 0.19 -
Work Schedule -HRLY NON-UNION-RN
Employee Status A7 - Occasional -
Union Non-Union
Pay Range $28 - $49 Hourly
Keywords: Mohawk Valley Health System, Utica , Registered Nurse - MDS Coordinator - Per Diem - Days, Healthcare , Utica, New York
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