MDS Assistant Job Anderson area,Indiana USA,Nursing

JOB SUMMARY

The MDS Nurse is an experienced health care provider who ensures accurate assessment coding and up-to-date care plans for all residents, in collaboration with, or as, the RN Coordinator. Additionally, the MDS nurse, through accurate assessment coding, establishes reimbursement rates for covered residents and quality metrics used for public reporting. The MDS Nurse also ensures records pertaining to resident care are consistent with the plan of care and are descriptive of the care rendered.

JOB

REQUIREMENTS

1. Must be physically and mentally capable of performing routine job duties.

2. Must have working knowledge of nursing services, nursing administration, rehabilitation, general nursing, geriatric nursing, the MDS, and its computer application (EMR).

3. Must have good managerial, organizational, planning, computer, and interpersonal skills.

4. Ability to initiate or provide input, complete, and update care plans with each MDS assessment completion and within applicable scope of practice.

5. Ability to conduct in-service training of nursing staff on care plans, documentation, ADLs, and EMR application.

6. Ability to monitor resident EMR records for consistency and content.

7. Ability to identify problems and to communicate those problems to the Director of Nursing, Social Worker, Activity Director, Diet Tech/RD, or other facility staff as applicable to the department effected.

8. Be personable with residents, families, and staff in a professional and cooperative manner.

9. Must have compassion, tolerance, and understanding for the elderly.

10. Knowledge of ISDH standards and methods of documentation in accordance with those standards.

11. Must possess knowledge and be able to effectively navigate the Resident Assessment Instrument (RAI) Manual.

12. Must possess understanding of technical and clinical criteria required to cover Medicare beneficiaries.

MAIN DUTIES

A. Support the facility's philosophy of care and strive to achieve its goals and objectives.

B. Coordinate the completion of the MDS upon:

a. initial admission
b. readmission
c. quarterly
d. annually
e. the occurrence of a significant change
f. and as needed for PPS/Insurance Reimbursement

C. Provide calendar monthly and as needed of scheduled MDS assessments. Opening MDS assessments in the EMR, allowing the IDT to work from the In-Progress list, also satisfies this requirement.

D. Assure the timely completion of each section of the MDS by proper department, signing of the form by staff on EMR, and its resident appropriateness.

E. Confer with each department regarding any problems that occur in its sections of the MDS and arrange for re-education when necessary. Including, but not limited to, accurate coding and supportive documentation.

F. Review ICD 10 diagnosis coding and sequencing upon admission, reentry, and with each MDS assessment completion and complete Physician Query for clarification as needed.

G. Complete daily review of clinical records for opportunities to capture highest level of care on OBRA and PPS assessments, aligning reimbursement with care and resident characteristics. This includes but is not limited to a review of the ADL Index Report, Therapy projections, progress notes, and orders.

H. Conduct daily MDS-therapy meeting and weekly Utilization Review meeting.

I. Participate in pre-billing (triple check) review of claims per facility guideline.

J. Monitor MDS-based Quality Measures for coding errors, opportunities to resolve when applicable, and assist IDT in identifying measures to include in facility QAPI efforts.

K. Monitor and assist staff in all departments regarding EMR charting, documentation and achieving Care Plan goals in accordance with the resident’s MDS.

L. Communicate resident care plan and progress to staff, resident and family. Ensure care plan review dates are set in PCC with MDS assessments and reviews are signed timely by each applicable IDT member.

M. Conduct in-service training of nursing staff every three months as needed on care plans and documentation.

N. Record, report and follow up on discrepancies in documentation which are not consistent and/or do not meet program standards.

O. Work closely with the Director of Nursing and other department heads to ensure consistency in care.

P. Work with, or as, RN to coordinate resident Care Plan with physical, occupational, respiratory, and speech therapy department to ensure proper care and treatment when clinically appropriate.

Q. Maintain the confidentiality of resident information and honor…