RN - MDS Coordinator - MetaSense Inc

Job Summary:
MDS Coordinator is responsible for coordination of MDS assessments of each resident. Participates in the overall process of providing optimum care of each resident. Provides support to clinical staff in the provision of high care quality of life for each resident.

Primary Responsibilities:
-Completes accurate assessments, MDS, and CAAs as assigned.
-Monitors and audits clinical records, assures accuracy and timeliness.
-Informs PI Director of persistent issues related with non-compliant documentation.
-Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization.
-Gathers information on facilitys current residents for future assessments, including physical and mental states.
-Ensures accurate ICD-10 coding for proper reimbursement.
-Maintains current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations.
-Monitors Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement.
-Reviews daily all communications received via fax, email or mail.
-Completes special managed care projects; performs independent research and prepares/gathers information for reports and data summaries.
-Assists other departments with projects as needed in the spirit of teamwork.
-All other duties as requested.

Required Skills & Experience:
-Minimum of two (2) years of experience in MDS 3.0.
-Long Term care experience required.
-Positive relationship building.
-Strong interpersonal and verbal communication skills.
-Organized with an ability to work independently to complete projects.
-Detail oriented with consistent follow-through.
-Excellent writing, listening and problem solving skills.
-Proficient with Microsoft Office suite applications such as Word and Excel.

Required Education:
-Bachelors Degree in Nursing.
Preferred Education:
-Masters Degree highly desired.

Required Certifications & Licensure:
-New York State Registered Nursing license
-Obtain Resident Assessment CoordinatorCertified (RAC-CT) within one year from the date of hire.
-Maintain MDS RAC-CT Certification.