Registered Nurse (RN) in good standing with state licensing board
2+ years of experience preferred
Experience in a fast-paced healthcare environment
Background in post-acute care
Competence in PDPM and OBRA compliance
Strong clinical assessment skills
Responsibilities
Oversee and coordinate resident assessments (MDS) per regulations
Lead development of comprehensive resident assessments and care plans
Ensure face validity of Minimum Data Sets before submission
Coordinate MDS completion in compliance with regulations
Calculate triggers and develop assessment protocols for care plans
Ensure timely completion of MDSs
Maintain accurate clinical record documentation
Benefits
Reasonable accommodations for individuals with disabilities
Participation in in-service training and performance improvement committees
Opportunities for professional development
Compliance with HIPAA for privacy and security of health information
Full Job Description
Resident Care Management Director - MDS
Summary/Objective:
Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payor program requirements. Ensures assessments accurately reflect each resident's physical, mental, and psychosocial status; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy.
Responsibilities:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the Center's Interdisciplinary Plan of Care team
Ensuring the face validity of all Minimum Data Sets before electronic submission
Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
Calculate triggers and develop resident assessment protocols for initiation of care plan
Ensure MDSs are completed timely
Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
Review and assess all resident information (including hospital records) to accurately complete MDS scoring
Train nursing staff on responsibilities for timely and accurate clinical record documentation
Participates in the interdisciplinary care team
Stays current with state and federal regulatory changes
Complies with laws and regulations applicable to position and act in accordance with the Center's Compliance Program
Attends and participates in in-service training, performance improvement ("PI") committees, and other meetings as scheduled and directed
HIPAA
Follows and adheres to the Center's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
Uses and/or discloses only the minimum amount of Protected Health Information necessary to complete assigned tasks
Reports all suspected violations of the company's HIPAA policies or procedures to the Center Privacy Designee
Required Experience and Education
Registered Nurse (RN) in good standing with the respective state licensing board
Preferred Experience and Education
2+ years of previous experience
Experience in a fast-paced environment
Post-acute care or healthcare experience
Demonstrated competence PDPM as well as OBRA compliance
