MDS / RAI Coordinator
: Job Details :


MDS / RAI Coordinator

Edgewood Estates

Location: Frenchburg,KY, USA

Date: 2024-12-10T07:31:51Z

Job Description:
Job Summary MDS / MDS COORDINATOR Department Nursing Reports to Director of Nursing with accountability to Administrator Reporting to this position None Job Classification Registered nurse (preferred) with administrative duties/management Position Purpose Conducts and coordinates the completion of required Resident Assessment Instrument (RAI) and is responsible for the implementation and ongoing evaluation of each resident's comprehensive plan of care. RequiredQualifications
  • Mustpossess a current, unencumbered, active license to practice as a nurse in thisstate. Registered Nurse Licensed preferred
  • 3years' experience as a nurse, RN preferred, one of which includes supervisoryexperience. Experience with MDScompletion preferred
  • ResidentAssessment Coordinator (RAC) training must be completed within six months ofhire. RAC Certification is preferred
Major Dutiesand Responsibilities Coordination of the facility's Resident AssessmentInstrument (RAI) process in accordance with state and federal regulations. Accurate completion of all MDS assessments and anysupporting assessments or clinical documentation. Implementationand ongoing evaluation of each resident's comprehensive plan of care. Scheduling and leading interdisciplinary care plan teammeetings. Auditing medical records for the presence ofsupporting documentation for all items coded on the MDS. Provide education to department heads,physicians, and other staff as needed. Collaborating with health plans, physicians and theinterdisciplinary team for assuring insurance approvals and/or that residentsmeet eligibility and coverage criteria. Interpreting rules, regulations and coverageguidelines and acting as primary resource for problem solving regarding the SNFprospective payment system and quality reporting program. RAI/MDSCoordinator Assigned Tasks * Utilizes the current RAI Manual as a resource during theassessment coding process. * Schedules the Assessment Reference Dates (ARDs) forpayment assessments in a manner that accurately captures each resident'sclinical characteristics for payment classification purposes. * Schedules the ARDs for all OBRA (Omnibus BudgetReconciliation Act) assessments daily, monthly, and as needed. * Provides a schedule of ARDs and assessment types weeklyand as needed to the interdisciplinary team (IDT) in order to facilitate thetimely completion of MDS sections and CAAs (Care Area Assessments) by eachdiscipline. * Communicates with members of the IDT as needed for timelycompletion of assessments. Expected toreport any issues with timeliness to the Administrator. * Transmits assessments in accordance with currentregulations. To facilitate timelyreceipt of validation reports, will transmit as frequently(daily) as necessaryto obtain timely validation of MDS acceptance into the Internet Quality Improvement and Evaluation System (iQIES) Assessment Submission and Processing(ASAP) System data base. * Confirms transmission files by review and printing ofinitial and final validation reports. * Corrects any fatal errors immediately and retransmits theassessment until an accepted validation report is received. * Addresses non-fatal errors using the iQIES ASAP SystemMDS 3.0 Provider User's Guide. * Ensures the Business Office designee receives the initialand final validation report that acknowledges the acceptance of the MDS intothe iQIES ASAP. * Facilitates the completion and updating of resident careplans with the IDT to reflect each resident's current needs. * Communicates with the IDT to identifyresidents in need of a Significant Change in Status assessment, based oncriteria in the current RAI manual. * Participatesin all resource utilization and/or triple check meetings prior to billing ofclaims associated with payment assessments. * Assists with admission, discharge, or care of residents asneeded. * Attends or participates in continuing education relatedto the RAI process and related programs. Completes all assigned training and skills competency, as determined bythe facility assessment and facility training plans. * Performs other administrative duties as assigned by theDirector of Nursing or Administrator, including but not limited to QAPIactivities and participation in department or committee meetings in acooperative, effective, timely and professional manner. AdditionalTasks * Treats all residents withdignity and respect. Promotes andprotects all residents' rights. * Establishes a culture ofcompliance by adhering to all facility policies and procedures. Complies with standards of business conduct,and state/federal regulations and guidelines. * Follows appropriatesafety and hygiene measures at all times to protect residents and themselves. * Maintains confidentiality ofprotected health information, including verbal, written, and electroniccommunications. * Reports noncompliance withpolicies, procedures, regulations, or breaches in confidentiality toappropriate personnel. Reports anyretaliation or discrimination to HR or compliance officer. * Reports any allegations ofabuse, neglect, misappropriation of property, exploitation, or mistreatment ofresidents to supervisor and/or administrator. Protects residents from abuse, and cooperateswith all investigations. * Reports any occupationalexposures to blood, body fluids, infectious materials, and/or hazardouschemicals in accordance with facility policy. * Participatesin all life safety and emergency drills and trainings. Fulfills responsibilities as assigned duringimplementation or activation of the facility's emergency plan. * Reports work-related injuriesand illnesses immediately to supervisor. * Follows established infection control policies andprocedures. * As a condition of employment,completes all assigned training and skills competency. PersonalSkills and Traits Desired/ Physical Requirements * Ability to read, write, speakand understand the English language. * Must be a supportive teammember, contribute to and be an example of team work. * Ability to make independent decisions when circumstanceswarrant such action. * Ability to deal tactfully with personnel, residents,family members, visitors, government agencies/personnel and the general public. * Must have patience, tact, and willingness to deal withdifficult residents, family and staff. * Must be able to relay information concerning a resident'scondition. * Must not pose a threat to the health and safety of otherindividuals in the workplace. * Must be able to move intermittently throughout theworkday. * Meets general health requirements according to facilitypolicy, including medical and physical exams and checking immunity status tovarious infectious diseases. * Ability to work beyond normalworking hours and on weekends and holidays when necessary. * Ability to assist inevacuation of residents during emergency situations. * Ability to bend, stoop,kneel, crouch, perform overhead lifting and perform other common physicalmovements as needed for the position. * May be subject to falls, burns fromequipment, and/or odors throughout the day; encounter reactions from dust,tobacco smoke, disinfectants, and other air contaminants. * Subject to exposure to infectious waste,diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, andTuberculosis. * May be subject to hostile or emotionalresidents, family members, visitors or personnel. * Regular attendance is a requirement of this position. * Effective verbal and written communication skills andability to exercise judgement. * Intermediate computer skills, including ability to createdocuments in various programs (Word, Excel, PowerPoint), and navigateelectronic medical record systems. * Ability to work beyond normal working hours and onweekends and holidays when necessary. * Ability to work independently, and to organize, plan, andmanage time effectively to complete assignments. * Positive interpersonal relationship skills, includingwith persons of all ages and cultures. * Current awareness of relevant regulations and standardsof care. Compliance as a Condition of Employment and PerformanceAppraisal Agreement to abide by all standards, policies, andprocedures of the facility, including the facility's compliance and ethicsprogram, is a condition of employment. Compliancewill be a factor in evaluating job performance. Violations, including failure to reportviolations, will result in disciplinary action, up to and includingtermination. This job description is intended to conveythe general scope of the major duties and responsibilities inherent in thisposition. Other tasks not listed heremay be assigned by the Administrator. Periodicrevision may be necessary to reflect changes in expectations placed on longterm care by the Department of Health and Human Services (HHS). This job description will be reviewed and/orrevised by the Administrator annually and as needed. Individualperformance will be evaluated using the following scale: 1. Unsatisfactory: Achievesresults which are far less than the standards identified for the performancefactors rated. 2. NeedsImprovement: Achievesresults which are less than the standards identified for the performancefactors rated. Exhibits the potential tobecome a competent performer. May be newto job or need skill development. 3. MeetsStandards: Achievesresults which meet the standards identified for the performance factors rated. This rating is the expected level ofperformance. 4. ExceedsStandards: Achievesresults which usually exceed the standards identified for the performancefactors rated. Reasonable AccommodationStatement Consistentwith the Americans with Disabilities Act (ADA) and [KY state civil rights law],it is the policy of Edgewood Estates to provide reasonable accommodation whenrequested by a qualified applicant or employee with a disability, unless suchaccommodation would cause an undue hardship. The policy regarding requests for reasonableaccommodation applies to all aspects of employment, including the applicationprocess. If reasonable accommodation isneeded, please contact the Administrator, 606-###-####, and ...@edgewoodestates.org.
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