Responsibilities
This position is for RN's only.
SUMMARY: The MDS Coordinator / Care Plan Nurse is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility
Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category
Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission
He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement
Assesses and determines the health status and level of care of all new admissions
Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change
Communicates level of care for new resident to all disciplines
Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames
Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards
Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay
Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments
Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records
Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference
Assists disciplines in formulating and revising care plans
Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established, and nursing intervention is appropriate
Evaluates resident care plans for comprehensiveness and individuality
Assesses the achievement or lack of achievement of desired outcomes
Ensures that resident’s care plan is reassessed and revised appropriately
Responsible for all level of care changes within the facility
Notifies all departments when a level of care change has been made
Generates appropriate forms to complete level of acuity and changes
Transmits forms to the appropriate agency for processing as required by state law