Mds Coordinator- Rn

We believe a career is more than just a career - it's a calling. Our teammates' "True North" is what calls them to health care; it's their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.

Department:  Case Management

Work Shift:

Job Description:

The MDS Coordinator at North Mississippi Health Services System is pivotal in coordinating patient care and resource utilization. The coordinator monitors individual cases to ensure compliance with established criteria and patient care guidelines, collaborates with the healthcare team for effective patient care planning, and plays a critical role in discharge planning.

• Monitors individual cases in relation to established criteria, LOS & patient care guidelines.
• Assures patient is meeting level of care criteria & issues denial of care letters as necessary.
• Intervenes as indicated to promote the timely provision of care & utilization of resources.
• Serves as a resource for physicians & nurses in understanding criteria for continued stay & medical necessity.
• Monitors patient outcomes to evaluate clinical & financial effectiveness.
• Reconciles services rendered with patient benefits & communicates with physicians & 3rd party payers to assure appropriate reimbursement.
• Manages/supervises social work and case management as a team to facilitate discharge planning needs of the patients.

• Collaborates with patient care team to move population along the continuum by effectively planning for continued care as moving to another level of care to ensure all patient needs are addressed.
• Assess social/emotional factors affecting health status of patients & makes appropriate referrals.
• Participates on Discharge Planning Team & initiates d/c planning early in the treatment process based on requirements of the plan of care & needs identified during initial assessment.
• Complies with regulatory and accrediting agency requirements and ascertains that other staff is complying as well through staff development endeavors.

• Participate on SWB Team and facilitates screening of patients for eligibility.
• Provides SWB information to patients & families as appropriate.
• Monitors patient progress for timely discharge to the appropriate setting.
• Responsible for MDS as required for billing/reimbursement.

• Identifies & reports physicians practice patterns & resource utilization.
• Maintains accurate records of review & discharge planning activities.

• Maintains constructive working relationships & communication with physicians, professional staff, and other members of the health care team regarding issues of continued stay & documentation of medical necessity.
• Collaborates with business office to ensure accurate billing and statistical information.
• Collaborates with social worker to identify & coordinate resources, internal and external, to best meet patient needs.
• Competent to communicate on all levels to assess discharge needs of all age groups of patients.
• Participates in educational meetings with physicians office personnel as requested.

• Ability to read & interpret medical record documentation
• Ability to operate a PC
• Good organizational skills & high level of self-initiative
• Effective verbal & written communication skills
• Extensive knowledge of various regulatory and accrediting standards.
• Knowledge of Minimum Data Set (MDS) and care plans in order to facilitate the processing of necessary information to the required agencies.
• Demonstrate the ability to work effectively with physicians and other nurses to initiate & pace accomplishment of responsibilities with…