MDS Coordinator - RN

JOB DESCRIPTION MDS Coordinator Nursing DepartmentFLSA STATUS:
Non-Exempt (CA)

Reports to:

Director of Nursing Overview of the Position:

The MDS Coordinator assumes full time administrative authority, responsibility and accountability to coordinate the completion of the required minimum data set and with other members of the inter-disciplinary team, develops and implements a plan of care that meets the individual needs of each resident.

• Communicate and interpret policies and procedures to nursing staff. Monitor practice for effective implementation

• Conduct resident assessments as required, develop plans of care, evaluate residents’ responses to interventions and document clinical records effectively in compliance with county. state and federal laws and regulations, as applicable

• Keys information into computer systems, including EMR

• Maintain current skills and knowledge through continuing education, attend in-service education and staff meetings as required and apply information to job responsibilities

• Knowledge of resident assessment instrument as published by CMS (Centers for Medicare and Medicaid Services) and RAI (Resident Assessment Indicators)

• Complete Minimum Data Sets within 14 days of admission in coordination with other members of the inter-disciplinary team, assess change of conditions and determine need for significant change of status in MDS

• Complete quarterly MDSs within the RAI stated time frame and update nursing data, observations and care plans as needed

• Complete Minimum Data Sets for Prospective Payment (Medicare and HMO) residents as per CMS Assessment Schedule. 5, 14, 30, 60, 90 Day and significant change as appropriate

• Complete CATS ((Care Area Triggers), CAAs (Care Area Assessments) and care plans within 21 days of admission and for all comprehensive assessments (I.e. significant change, annual)

• Ensure all areas that triggered on the CAA are included on the resident’s plan of care, using CMS Minimum Data Set guideline protocols to determine whether to proceed or not to proceed regarding care plan issues

• Ensure all medications, treatments and at risk conditions (i.e. skin) not triggered are included on resident’s plan of care after the admission nurses have completed their admission care plans and significant change of condition care plans

• Meet daily with rehab therapists to case manage all PPS (Prospective Pay System), HMO (Health Maintenance Organization) residents in regards to rehab services

• Establish and maintain assessment schedules to assure timely completion of minimum data sets

• Establish and maintain (for 15 months) electronic MDS via computer

• Review, evaluate and correct as appropriate, all final validation reports from CMS

• Come prepared to participate in quality assurance and corporate compliance meetings, including the weekly CSSR (Comprehensive Skilled Services Review) meeting

• Understand billing for the MDS process and coordinate this with the Business Office Manager, as needed

• Utilize the MDS scrubber during the completion of the MDS and work with the results of the scrubbing to enhance systems and quality of the medical records and resident’s care

• Demonstrate knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions. Demonstrate competency in the protection and promotion of resident rights. Able to act as role model for facility staff

• Appreciates the importance of maintaining confidentiality of resident and facility information

• Demonstrate honesty and integrity at all times in the care and use of resident and facility property

• Must be able to key information into computer systems

• Current knowledge of county, state and federal laws and regulations, as applicable, that apply to practice of nursing in long term care

• Interest and awareness of changes and advancements in geriatric nursing and regulations

• Working knowledge and ability to apply standards of professional nursing practice in job situations. Ability to direct and supervise nursing care and resident care services

• Working knowledge of reimbursement sources (i.e. Medicare, Medicaid, HMO, Private, and Hospice) and the relationship to the…