General PurposeThe primary purpose of this position is to oversee the facility to ensure assessments are completed per guidelines. A primary focus is the resident assessment process, which includes individual assessment, MDS assessment, and resident plan of care. Key responsibilities include providing oversight on facilities' weekly PDPM meetings, tracking and monitoring the effective utilization of PDPM tools, creating clinical reporting systems, and holding monthly workshops on PDPM and CMS-related regulations. The role also involves tracking and monitoring QM and QASP performance, assisting in reviewing MDS/PDPM claims, providing training to new MDS Coordinators, and developing performance evaluation systems for MDS Nurses. The consultant will ensure accurate and timely completion of all MDS Assessments and coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for new admissions.
Essential Duties- Provide oversight on facilities' weekly PDPM meetings for skilled patients.
- Track and monitor each building's effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
- Create meaningful and effective clinical reporting systems between RDO and RDCS.
- Hold Regional MDS workshops monthly on PDPM and other CMS-related regulations.
- Track and monitor QM and QASP performance monthly and quarterly, providing data analysis and clinical recommendations to the facility for optimum outcomes.
- Assist RDCS in reviewing MDS/PDPM claims monthly for accuracy and in creating trend analysis of clinical areas for improvement.
- Provide PDPM and MDS trainings to new MDS Coordinators.
- Develop performance evaluation systems for MDS Nurses in coordination with facility Administrators.
- Ensure all areas triggered on the resident assessment protocol summary are included in the resident's plan of care.
- Assess and determine the health status and level of care of all new admissions.
- Ensure the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change.
- Communicate the level of care for new residents to all disciplines.
- Coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames.
Supervisory RequirementsThis position does not have any supervisory requirements.
QualificationEducation and/or Experience- A Bachelor's Degree in Nursing (BSN) or an equivalent Accredited Nursing Program Degree.
- MDS corification is proforred.
- Experience in clinical and management roles, preferably in a regional or corporate setting.
- Knowledge of CMS/OIG surveys and regulations.
- Strong analytical and reporting skills.
- Excellent communication and interpersonal skills.
Language SkillsAbility to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Mathematical SkillsAbility to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Reasoning AbilityAbility to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form..
Certificates, Licenses, RegistrationsTo preform this job successfully, an individual must be proficient in
the Microsoft Suite products.
Physical Demands- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop. computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator.
Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.
Additional InformationNote: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above.
They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
Pay Range: $120,000 - $130,000 
