RN MDS Coordinator PH- The Oaks (Athens, GA)
Company: Pruitthealth
Location: Athens
Posted on: January 9, 2021
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Job Description:
The primary purpose of this position is to provide management of
resident care as related to the Resident Assessment Instrument
(RAI) process, in accordance with federal and state regulations,
facility policy and as directed by the Administrator. Responsible
for coordination and completion of assessments for each patient
including the Resident Assessment Instrument (RAI), CAAs and Care
Plan. This includes all OBRA and PPS assessments in compliance with
CMS requirements for completion. Responsibilities include
scheduling and maintaining accurate and timely assessments, meeting
all automation requirements as defined by the regulations,
facilitating a functioning interdisciplinary team, maintaining
roster and census reports, monitoring of all reports generated by
this department, facilitating patient care plan development and
review, providing oversight for department LPN staffing in
compliance within the guidelines of the state nursing scope of
practice, and fosters adherence to company policy and processes.KEY
RESPONSIBILITIES:1. Supervises Case Mix Coordinators, monitoring
performance, to identify educational needs and providing education
and/or coordinating education with Clinical Reimbursement
Consultant.2. Assumes key leadership role in mentorship and
education for the Case Mix Coordinator to ensure competency and
retention.3. Facilitates communication between nursing center
departments and patient/family members inorder to carry out an
effective assessment to develop a comprehensive plan of care;
establishing measurable goals, appropriate intervention, and
assignment of responsibility in delivery of care, inaccordance with
the patient's wishes.4. Establishes open lines of communication
with consultants. Effectively interview for the purpose of
collecting information from patients, families, and staff
members.5. Conducts/coordinates patient (or family) interviews for
assessment purposes.6. Evaluates each patient's condition and
medical data to determine special needs, preferences, or the need
to amend the admission assessment.7. Maintains schedule of
assessment/care plan meetings. Coordinate schedule with nursing
centerstaff and others (family, therapists, etc.) to provide for
appropriate participation.8. Provides oversight and compliance in
the patient assessment and development of care plans within
required timeframes and in accordance to regulations.9. Facilitates
proactive communication with medical directors, primary care
physicians (PCPs),specialists, auxiliary providers, case managers,
and nurses for development of comprehensive plans of care and
coordination of effective and efficient delivery of patient care
across the carechain.10. Facilitates education to inform caregivers
of the patient's care plan prior to administering care.11.
Coordinates the review of each assessment/care plan for accuracy
(including timeliness appropriate signatures and dates etc.)12.
Monitors the RAI process for accuracy according to the RAI
guidelines and other accepted standards.13. Educates the
interdisciplinary team and other staff members as needed in the RAI
process.14. Conducts physical assessment of patient to provide
accurate RAI process.15. Assesses patient needs and make
recommendation for skilled rehabilitative services as well as
maintenance therapy services.16. Conducts patient care conferences.
May be required to direct and implement nursing serviceeducational
programs in reference to patient assessment and care.17. Assists in
maintaining compliance with federal, state, and local
regulations.18. Be highly involved in determining skilled level of
care for Medicare residents and procuring required
Medicare-specific documentation; be responsible for physician
certification of a skilled level of care throughout the Medicare
stay; be involved in making eligibility determinations19.
Coordinate care with case managers for residents utilizing managed
care, health maintenance organizations (HMOs), commercial
insurance, and other alternate payment models.20. Serve as a member
of the quality assessment and assurance (QAA) and/or the quality
assurance and performance improvement (QAPI) committees.21. Work
closely with Admissions director/Senior Nurse Navigator, Hospital
medical records, andphysicians to obtain accurate and complete
documentation to support ICD-10-CM diagnosis coding and surgical
procedures.22. Audit and improve staff education/competency as
needed to ensure accurate and timely completion of supporting
documentation and MDS assessments.23. Participate in care
conferences, discharge planning, training, caregiver training, and
the provision of resources as needed24. Ensure that the residents'
rights to fair and equitable treatment, self-determination,
individuality,privacy, property, and civil rights, including the
right to wage complaints, are always well-established and
maintained.KNOWLEDGE, SKILLS, ABILITIES:
Keywords: Pruitthealth, Athens , RN MDS Coordinator PH- The Oaks (Athens, GA), Healthcare , Athens, Georgia
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