Job ID JR160840
Hours
Shift Start Time:
7 AM
Shift End Time
3:30 PM
AWS Hours Requirement
8/80 - 8 Hour Shift
Additional Shift Information
Weekend Requirements:
Not Specified
On-Call Required
No
Hourly Pay Range (Minimum - Midpoint - Maximum)
$67.860 - $78.740 - $89.620
The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.
What You Will Do
The MDS Coordinator coordinates the completion of the Resident Assessment Instrument (RAI) and MDS and facilitates transmission to the Centers for Medicare and Medicaid Services (formerly the Health Care Finance Administration (HCFA). The transmission of the MDS to CMS determines Medicare payment to the facility under the prospective payment system (PPS).
Required Qualifications
Hours
Shift Start Time:
7 AM
Shift End Time
3:30 PM
AWS Hours Requirement
8/80 - 8 Hour Shift
Additional Shift Information
Weekend Requirements:
Not Specified
On-Call Required
No
Hourly Pay Range (Minimum - Midpoint - Maximum)
$67.860 - $78.740 - $89.620
The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.
What You Will Do
The MDS Coordinator coordinates the completion of the Resident Assessment Instrument (RAI) and MDS and facilitates transmission to the Centers for Medicare and Medicaid Services (formerly the Health Care Finance Administration (HCFA). The transmission of the MDS to CMS determines Medicare payment to the facility under the prospective payment system (PPS).
Required Qualifications
- 2 Years long term care experience
- 2 Years recent pertinent clinical experience as defined by the CBA.
- AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
- California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
- Bachelor's Degree in Nursing
- 1 Year MDS coordination experience
- Coordinates assessment of the resident's physical and psychosocial status, diagnosis and plan of care to ensure appropriateness Coordinates and facilitates resident care plan conferences with the Interdisciplinary Team (IDT) in conjunction with the resident, family, or representative as appropriate. Communicates to the healthcare team the need to revise the plan of care based on the outcome of care conferences and monitors for completion. Coordinates all required Resident Assessment Instruments (RAI) including MDS and RAP summary per state and federal guidelines to ensure timely completion. Maintains the RAI/MDS calendar with clear, up-to-date information on completion deadlines for each phase of the RAI process for each applicable resident. Monitors IDT sections of the RAI for timely completion, and notifies individual departments to ensure deadlines are met. Monitors the input into each MDS to ensure accuracy and consistency of responses across the IDT assessments, acting as facilitator to reconcile variances. Demonstrates the knowledge and skills to coordinate and facilitate care based on the physical, psychosocial, educational, safety and cultural criteria appropriate to the age of the residents served.
- Coordinates with clinical evaluator/designated admission nurse to ensure appropriateness of residents for admission Facilitates timely transmission of the RAI/MDS per policy and as required by the Centers for Medicare and Medicaid Services (CMS). Notifies manager/director of any barriers to timely, accurate completion and transmission of RAIs/MDS to ensure compliance with deadlines. Identifies and consistently tracks and analyzes unjustified SNF admission/continued stays and denials. Presents this information to respective teams and committees for performance improvement opportunities. Maintains timely communication with Sharp HealthCare Patient Financial Services (PFS) (billing) department regarding resident's payer status to ensure payer guidelines are met. Tracks resident RUG levels to monitor reimbursement levels. Notifies PFS of initial and subsequent changes in RUG levels. Complies with payer guidelines on utilization review to promote optimal reimbursement. Collaborates with IDT regarding medical necessity of SNF stays and facilitates timely resident discharge when skilled needs are met.
- Tracks and analyzes RAI/MDS outcomes, finance and quality performance data for trends and assesses current practice in relation to research-based best practice. Accesses facility quality indicators from Department of Health (DHS) database, analyzes and monitors for trends. Collaborates with IDT for quality improvement opportunities and implements strategies to meet clinical, quality and financial outcomes. Participates on department/facility quality council and presents outcome data in collaboration with manager.
- Knowledge of Title 22 and OBRA, the RAI/MDS process, Utilization Management criteria and healthcare finances.
- Knowledge about care options, clinical goals, anticipated outcomes, regulatory, financial implications and performance improvement.
- Ability to problem solve complex situations.
- Independent judgment, decision making, self-direction and ability to set and achieve priorities.
- Effective written and oral presentation skills.
- Excellent customer service and communications skills and the ability to facilitate and coordinate teams. #FJ