MDS RN / RN Manager
Company: Covenant Living Communities
Location: Evanston
Posted on: May 18, 2023
|
|
|
Job Description:
We Are Inspired to Serve. Join us!* The MDS Nurse, RN (nurse
assessment coordinator (NAC)) is an individual licensed as a
registered nurse by the State Board of Nursing and employed by a
nursing facility, and is responsible for coordinating and
certifying completion of the resident assessment instrument.
* The MDS Nurse / NAC is ultimately responsible for the oversight
and coordination of the federally mandated resident assessment
instrument (RAI) process, which includes the MDS assessment, care
area assessment, and care plan development or revisions. This is
the basis for accurate assessment of each resident.
* Works with the interdisciplinary team (nursing, therapy, dietary,
social services, activities, etc.) to complete MDS assessments,
analyze care areas, and develop and revise a comprehensive care
plan and ensure that compliance is maintained with state and
federal guidelines. Attests to the completion of the Minimum Data
Set (MDS), which is the key driver of the care plan, quality
measures, and used for Medicare payment and many Medicaid
reimbursement systems.
* Serves as the expert resource for the Patient-Driven Payment
Model (PDPM) and is responsible for complying with ethical and
timeliness standards when setting ARDs, completing assessments, and
upholding Medicare requirements. Review PDPM regulatory with
Healthcare Administrator for financial outcomes and
performance.
* Assists with the coordination of care delivery by applying
advanced nursing clinical skills, completing assessments, analyzing
data, educating team members, and coordinating the exchange of
resident information across the care settings.
* The complexity of these requirements is paramount to the success
of the financial operations in our facilities and the care of our
residents. The MDS Nurse / NAC is responsible for ensuring
compliance with key federal requirements.
* May supervise MDS Nurse, LPN/LVNs and provide oversight and
approval to work of others.Coordinate the RAI process, which
includes, at a minimum, the following elements:* Minimum Data Set
(MDS)* Care Area Assessment process* Care plan development* Care
plan implementation* EvaluationProvide oversight of assessment
completion and transmission to the national repository. Review
final validation reports and correct or modify assessments in
response to warnings or errors as neededCoordinate the completion
of the comprehensive care plan according to regulatory
requirementsMaintain the OBRA and PPS assessment schedules.Be
highly involved in determining skilled level of care for Medicare
residents and procuring required Medicare-specific documentation;
be responsible for physician certification/recertification of a
skilled level of care throughout the Medicare stay; be involved in
making Medicare eligibility determinations.The MDS nurse will spend
much of his or her day asking questions and interviewing anyone
connected with residents in order to get assessments for the
purpose of. The MDS nurse will also look at residents'and
depression scale assessments in determining their care plans. Lead
care plan meetings with families.Responsible for assuring the
timely completion of accurate resident assessments and
interdisciplinary care plans that meet Federal and State
guidelines. This includes identifying resident acuity and needs,
helping to determine specific care needs, and communicating needs
and expectations to families and responsible parties.Assess charts
and communicate with health care teams to create applicable health
care plans for their current and incoming residents.Coordinate care
with case managers for residents utilizing managed care, health
maintenance organizations (HMOs), commercial insurance, and other
alternate payment models.Maintain compliance with state-specific
regulations regarding the RAI process.Provide insight and analysis
of MDS-based Quality Measures.Serve as a member of the quality
assessment and assurance (QAA) and/or the quality assurance and
performance improvement (QAPI) committees.Evaluate PDPM financial
performance and regularly meet with Healthcare Administrator to
review. Review EMAR / PCC or other systems for missed financial
opportunities or errors. Ensure MDS system accepts assessments;
prevent and resolve errors.Work closely with hospital discharge
planners and physicians to obtain accurate and complete
documentation to support ICD-10-CM diagnosis coding and surgical
procedures.Audit and improve staff education/competency as needed
to ensure accurate and timely completion of supporting
documentation and MDS assessments.Participate in discharge
planning, training, caregiver training, and the provision of
resources as needed..Review resident complaints and grievances
associated with the RAI process and care delivery protocols; make
written reports of action taken; discuss with the resident,
representative, and family as appropriate.EDUCATION AND WORK
EXPERIENCE:Required Degree: Bachelor's degree,
NursingCertificate(s):
Keywords: Covenant Living Communities, Evanston , MDS RN / RN Manager, Executive , Evanston, Illinois
|
Click
here to apply!
|
