Resident Care Management Director - MDS - 1st Shift

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

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

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

• 2+ years of previous experience
• Experience in a fast‑paced environment
• Demonstrated competence PDPM as well as OBRA compliance
• 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

North Shore Healthcare
640 Vel R. Phillips Ave. Suite 200
Milwaukee, WI 53203