Resident Care Management Director - MDS - Full-Time 1st Shift

Williams Bay Health Services

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Current Registered Nurse (RN) license in good standing
  • 2+ years of experience preferred
  • Background in a fast-paced healthcare environment
  • Experience in post-acute care settings
  • Strong clinical assessment skills required
  • Knowledge of PDPM and OBRA compliance

Responsibilities

  • Oversee and coordinate resident assessment (MDS) development
  • Lead the interdisciplinary care plan for each resident
  • Ensure accuracy of Minimum Data Sets before submission
  • Maintain compliance with State and Federal assessment requirements
  • Calculate triggers for care plan initiation
  • Conduct weekly care conferences and Medicare meetings
  • Train nursing staff on clinical documentation responsibilities

Benefits

  • Health insurance for full-time employees
  • Dental and vision insurance for full and part-time staff
  • 401(K) Program for all staff
  • 6 paid holidays plus a floating holiday for full-time employees
  • Company paid life insurance for full-time staff
  • Voluntary life and disability insurance for full-time staff
  • Paid Time Off
Full Job Description
#LI-MJ1

We provide in-depth MDS training, certifications, and ICD 10 coding.

Summary/Objective:

Responsible for the direction andadministration of the Resident Assessment Instrument (RAI) process to ensureaccurate and timely completion of resident assessments in accordance withMedicare, Medicaid, OBRA, and other payor program requirements. Ensuresassessments accurately reflect each resident's physical, mental, andpsychosocial status; ensures accuracy of RAI to reflect optimal reimbursementfor services provided; ensures appropriate documentation to report and supportservices provided and assessment accuracy.

Responsibilities:

Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
  • Oversees and coordinates the developmentand completion of the resident assessment (MDS) in accordance with currentFederal and state regulations
  • Coordinating and leading the development ofa comprehensive resident assessment and care plan for each resident as chairpersonof the Center's Interdisciplinary Plan of Care team
  • Ensuring the face validity of all MinimumData Sets before electronic submission
  • Coordinate the completion of eachresident's MDS in compliance with all State and Federal requirements
  • Calculate triggers and develop residentassessment protocols for initiation of care plan
  • Ensure MDSs are completed timely
  • Accurately identify each resident's levelof functioning in accordance with RAI manual guidelines
  • Coordinate and assist with weeklyinterdisciplinary care conferences and Medicare meetings
  • Maintain MDS and supporting clinical recorddocumentation according to State and Federal requirements and in compliancewith 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 Experienceand Education

  • Registered Nurse (RN) in good standing with the respective state licensing board

Preferred Experienceand 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
  • Excellent clinical assessment skills


Benefits:

  • Health insurance for full-time employees
  • Dental and vision insurance for full and part-time staff
  • 401(K) Program for full and part-time staff
  • 6 paid holidays plus one floating holiday for full-time staff
  • Company paid life insurance for full-time staff
  • Voluntary life and disability insurance for full-time staff
  • Paid Time Off

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