Location: all cities,MI, USA
JOB SUMMARY:
The RN MDS/Care Plan Coordinator is to coordinate the development and implementation of all resident plans of care in accordance with State & Federalregulations and facility policies. To communicate each residents 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 residents needs. To assure that direct care personnel (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.). Follows all Villa policies and procedures and performs duties as defined by the State Nurse Practice Act. Adheres to JACHO Standards where applicable.
DUTIES/RESPONSIBILITIES:
Coordinate in conjunction with the Care Plan Coordinator the completion of each residents MDS in compliance with all State and Federal requirements.
Calculate triggers and develop resident assessment protocols for initiation of care plan.
Ensure that MDSs are completed in a timely manner and accurately identify each residents 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.
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).
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 this staffs
compliance with this requirement and provides additional training, education and/or disciplinary actions as deemed appropriate
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.
Ensure s 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 facilitys 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.
Safety
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
Resident Rights
Knows Resident Rights. Helps the residents exercise and/or protect their rights.
Reports resident/patient complaints to management.
Maintains confidentiality of resident/patient information.
HIPAA
Follows and adheres to Villas 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 companys HIPAA policies or procedures to Facility Privacy Designee
Perform other duties as assigned.
REQUIRED SKILLS/ABILITIES:
Working knowledge of the MDS assessment cycle 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.
Strong oral and written communication skills.
Strong organizational and project management skills.
Ability to work with all levels of employees.
Ability to read, write, speak and understand English.
Demonstrable ability to be a productive member of project team.
EDUCATION and EXPERIENCE:
Possesses a current RN license to practice in the State as an RN.
Skilled Nursing facility experience as an MDS Nurse preferred.
ENVIRONMENTAL AND PHYSICAL REQUIREMENTS:
Walking, reaching, bending, lifting, extended sitting, grasping, fine hand coordination, pushing and pulling, ability to distinguish smells and temperatures, all with or without the aid of mechanical devices is required.
Limited potential for exposure to environmental hazards. Understanding and adherence to company safety standards and protocols required.
Meet all health requirements as needed.
Dialogue concerning ADA reasonable accommodations are always available upon request i.e. the interactive process.