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MDS Nurse - RN

The MDS Nurse - RN provides necessary and accurate documentation for resident and patient assessments and care plans in accordance with company standards and federal, state, and local standards, guidelines, and regulations while serving as a team member or team leader of the interdisciplinary team.

 

Essential Activities and Tasks

Operations Management

  • Oversees the RAI process and submission process by validating and monitoring reports (EHDS).
  • Plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care.
  • Oversees and completes the computer data entry and electronic submission process for MDS transmission (EHDS).
  • Oversees Medicare and managed care logs, directing decision-making regarding insurance coverage, cut dates, and MDS schedules.
  • Oversees skilled resident and patient statuses to maximize reimbursement.
  • Oversees Medicaid resident statuses to maximize case mix scores.
  • Participates in care conferences.
  • Remains available during surveys and audits of the facility and/or the facility's documentation.
  • Assists with insurance appeals by reviewing documentation coded on MDS and verifying for consistency.
  • Attends all-employee and departmental meetings and in-service training as scheduled or as directed.

 

Quality, Compliance, and Risk Management

  • Ensures accurate and timely MDS, CAA, and Plan of Care documentation from the interdisciplinary team.
  • Provides final review of MDS and Plan of Care documentation of all disciplines offering education and advice as necessary and provides authorization.
  • Maintains and communicates schedule of MDS and Plan of Care due dates.
  • Keeps up to date on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement issues.
  • Attends committee meetings as requested.

 

Administration and Reporting

  • Maximizes reimbursement through team education, planning, accurate and timely MDS assessments.
  • Assists with reviewing and addressing issues with quality measures, survey findings, quality assurance findings, and other findings and/or survey results as assigned.

 

All other duties as assigned

 

 

Qualifications

Education

  • Nursing degree from an accredited college, university or vocational school required.
  • Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required.

Experience

  • Two years experience with MDS preferred.
  • Two years experience as a nurse in a long-term care facility required.
  • Experience as a nurse in a long-term care facility required.
  • Experience in rehabilitative and restorative nursing practices required.
  • Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care with special emphasis placed on documentation.
  • Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
  • Proficiency with electronic medical records (EMR) systems required.

Other Requirements

  • Must be able to read, write, speak, and understand the English language.
 


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