MDS RN Case Management Coordinator
Company: North Raleigh Universal Healthcare
Location: Raleigh
Posted on: May 17, 2022
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Job Description:
Job Description SIGN-ON BONUS $5,000 for MDS RNs Job Summary The
Case Management Coordinator, RN conducts and coordinates the
development and completion of the resident assessment in accordance
with the requirements of this state and the policies and goals of
this facility. Assures the timeliness and completeness of the MDS,
CAAs, and Interdisciplinary Care Plan. Assists the Director of
Health Services and facility leadership with ensuring that
documentation in the facility meets Federal, State, and
Certification guidelines. Essential Functions Every effort has been
made to make your job description as complete as possible. However,
it in no way states or implies that these are the only duties you
will be required to perform. The omission of specific statements of
duties does not exclude them from the position if the work is
similar, related or is a logical assignment to the position.
Residents Rights Knows and respects patient rights. Assures that
individuals--- rights are honored, and that care is delivered
according to those rights and the individual---s wishes. Ensures
patients--- rights, safety, and choices are safeguarded. Ensures
that care is provided in privacy. Ensures protected health
information is kept confidential. Reports known or suspected
incidents of unauthorized disclosure of such information. Reports
complaints made by residents/patients to supervisor. Reports all
allegations of patient abuse, neglect and/or misappropriation of
patient property. Safety and Sanitation Follows established safety
policies and procedures. Follows established infection control
policies and ensures compliance amongst staff. Observes safety
needs of patients as indicated in care plan and ensures staff do
the same. Wears and/or uses safety equipment and supplies when
indicated and properly trained to use. Demonstrates job-specific
knowledge of fire and disaster preparedness during drills or actual
situations. Staff Development Attends, provides, and participates
in scheduled in-service training, educational classes, and meetings
to maintain current licensure and certification as applicable and
as managed by regulatory agencies and company policies. Provides
staff training re: documentation, ADL---s, restorative services,
and other topics as directed by the Case Management Director, RN,
the Director of Health Services, and/or the Executive Director.
Completes assigned Relias training. Regulatory and Certification
Responsibilities Assists the facility in assuring adherence to
Federal and State regulations and certification. Actively
participates in the regulatory or certification survey process and
correction of deficiencies as requested. Speaks to surveyors calmly
and clearly regarding MDS and care planning. Monitors/audits
documentation, ADL---s, care plan implementation. Reports trends to
supervisor and department heads as requested. Reports trends from
completed audits to the QA committee as directed by the Case
Management Director, RN. Attends and participates in QAPI as
requested. RAI-MDS, CAAs, Care Plan Responsibilities Assures the
completion of the RAI Process from the MDS through the
interdisciplinary completion of the plan of care. Initiates and
monitors RAI process tracking, discharge/reentry, and Medicaid
tracking forms through the Electronic Health Record (E.H.R.).
Follows up with staff when necessary to assure compliance to
standards of documentation. Conducts and coordinates patient
assessments, data collection, and interviews as necessary to assure
good standards of practice and as instructed in the current version
of RAI Manual and company policies. Transmits as policy dictates.
Facilitates accurate determination of the Assessment Reference Date
that accurately reflects the patient---s care needs and captures
all resources utilized to ensure appropriate payment by
Medicare/Medicaid and insurance programs. Provides
interdisciplinary schedules for all MDS assessments and care plans
as required by OBRA and PPS regulations. Assures that appropriate
signatures are obtained as required. Ensures that the
Interdisciplinary team makes decisions for either completing or not
completing additional MDS assessments based on clinical criteria as
identified in the most recent version of the RAI User---s Manual.
Assist Director of Health Services or designee with identification
of a significant change. Reviews physician orders and verbal
reports to assure that the MDS and care plan are reflective of
those changes. In conjunction with Social Services, coordinates
scheduling and notices of patient care planning conferences.
Assures communication of outcomes/problems to the responsible
staff, patient, and/or responsible party. Ensures all MDS
information and care delivered as outlined in the Care Plan is
supported by documentation. Works with the Interdisciplinary Care
Plan Team in developing a comprehensive resident assessment and
care plan for each resident. Assist the Executive Director/Director
of Health Services with the monitoring to ensure that a care plan
is initiated on every patient upon admission to the facility.
Ensures all MDS information and care delivered as outlined in the
Care Plan is supported by documentation. Reports potential
concerns, missing, inadequate or incomplete documentation.
Participates in the daily stand-up meeting and communicates needs
for changes in PPS timelines and Assessment Reference Dates, and
deficiencies in completion of MDS, CAAs, and Care Plans. Relays
and/or acts upon information from the Case-Mix Specialist audits.
Acts as resource person for computer issues that relate to the MDS
process. Contacts the help desk when indicated. Responsible for
ensuring appropriate Medicare coverage through regular
communications with consultants. Attends daily and weekly Medicare
or Utilization Review meetings as required. Corrects and ensures
completion of final MDS and submits patient assessment data to the
appropriate State and Federal government agencies. Assigns,
assists, and instructs all staff in the RAI Process, PPS Medicare,
Medicaid (Case Mix as required) and clinical computer system in
relation to these processes. Ensures timely submission of the MDSs
to the State with proper follow-up on validation errors. Maintains
validation records from the submission process in a systematic and
orderly fashion. Ensures that the care plan includes measurable
objectives and timetables to meet the resident---s medical,
nursing, and mental and psychosocial needs as identified in the
resident---s assessment. Assist the Director of Health Services and
relevant directors/supervisors of other departments in ensuring
that personnel involved in providing care to the resident are aware
of the resident---s care plan availability. Ensures the physician
certification/recertification is completed as required.
Administrative Responsibilities Participates in staff meetings,
department meetings, and other facility meetings and sits of
required committees. Performs administrative duties such as
completing medical forms, reports, evaluations, studies, etc., as
necessary. Develops, implements, and maintains an ongoing quality
assurance program for the resident assessment/ care plans. Assists
the resident and Social Services in completing the care plan
portion of the resident---s discharge plan. Participates in
functions involving discharge plans as may be necessary. Monitors
the facility---s QI, QM, and Five-star reports to ensure that
appropriate corrective action can be implemented when potential
problems areas occur. Agrees not to disclose assigned user ID code
and password for accessing resident/facility information and
promptly reports suspected or known violations of such disclosure
to the Executive Director. Assists with admission, discharge,
transfer, medication administration and/or treatments according to
practice act as determined by the Executive Director in crisis
situations. Performs any miscellaneous work assignments as may be
required. Education/Qualifications Graduate of an approved
Registered Nurse program and licensed in the state facility is
located is required. MDS certification (RAC-CT/CTA, CMAC)
preferred. Current CPR certification. Must be knowledgeable of
nursing and medical practices and procedures, as well as MDS
processes and the laws, regulations, and guidelines that pertain to
nursing care facilities. Demonstrates strong organizational,
critical thinking, and analytical skills. Attention to detail a
must. Must be able to read, write, speak, and understand the
English language. Thinks and acts calmly and logically to meet
unusual occurrences of the job without being thrown off stride.
Must possess the ability to deal tactfully with personnel,
residents, family members, visitors, government agencies/personnel,
and the public. Persons who have been found guilty by a court of
law of misappropriation, forgery, fraud, or theft are ineligible
for this position. Persons who have been found guilty by a court of
law or identified in by any registry or licensing body of abusing,
neglecting, or mistreating individuals in a health care related
setting are ineligible for employment in the position. Experience
Minimum of 2 years of nursing experience in a Skilled Nursing
Facility preferred. Knowledge of Case-Mix, the Federal Medicare PPS
process, and Medicaid reimbursement, preferred. Familiarity with
PDPM preferred, Quality Indicators and Quality Measures preferred.
Requires knowledge of the OBRA regulations and Minimum Data Set
(MDS) and the care planning process. Physical Demands Must be able
to push, pull, move, and/or lift a minimum of 25 pounds to a
minimum height of 5 feet and be able to push, pull, move, and/or
carry such weight a minimum distance of 50 feet; Walking, standing,
pushing, climbing, balancing, stooping, kneeling, crouching,
reaching, handling, fingering, feeling, talking, hearing, tasting,
smelling, near acuity, far acuity, depth perception, accommodation,
color vision are necessary for this position. This position
requires extensive use of office equipment including computers,
phones, fax, scanner, etc. Repeating motions that may include the
wrists, hands and/or fingers. Will be sitting for extended periods.
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Keywords: North Raleigh Universal Healthcare, Raleigh , MDS RN Case Management Coordinator, Executive , Raleigh, North Carolina
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