ALIYA Healthcare Consulting ยท 3 weeks ago
MDS Director (RN)
Glenwood, IL
Full-time
Onsite
Director/Executive
$90K/yr - $100K/yrALIYA Healthcare Consulting is seeking an MDS Director to assist MDS and restorative teams in ensuring compliance with federal and state guidelines. The role involves evaluating facility compliance, reviewing clinical records, and educating staff on Medicare regulations.
Health CareNursing and Residential CareRehabilitation
Responsibilities
Evaluate facility compliance to federal regulations and targets for utilization
Identify areas of concern and assist facility to formulate effective action plans
Review resident clinical records for coverage, utilization, errors, assessments, and accurate transmission
Completion of MDS's
Participate in weekly Medicare meetings on the same day and time each week
Monitor and evaluate all Medicare admits/discharges
Review every patient on Medicare
Educate the staff on Medicare rules and regulations
Review ABN tracking form to ensure all copies are in the file and timely
Ensure Physician certification process is followed and in compliance
Review all Medicare charting to ensure skilled need is documented for therapy and nursing daily
Review Documentation to ensure Med B supporting documentation is present
Ensure RUGS 48 process is followed consistently
Ensure facility Restorative Program is in compliance with rules and regulations with supporting documentation
Ensure all supporting documentation is present prior to coding MDS
Ensure timely submission of MDS
Provide Education on all areas within job description and others that may be necessary
Communicate and collaborate with Therapy Company, Administrators, Directors of Nursing, and Compliance specialists in order to resolve any issues
Other duties as assigned by the Administrator and Director of Nursing
Qualification
Required
RN and MDS preferred
Evaluate facility compliance to federal regulations and targets for utilization
Identify areas of concern and assist facility to formulate effective action plans
Review resident clinical records for coverage, utilization, errors, assessments, and accurate transmission
Completion of MDS's
Participate in weekly Medicare meetings on the same day and time each week
Monitor and evaluate all Medicare admits/discharges
Review every patient on Medicare
Educate the staff on Medicare rules and regulations
Review ABN tracking form to ensure all copies are in the file and timely
Ensure Physician certification process is followed and in compliance
Review all Medicare charting to ensure skilled need is documented for therapy and nursing daily
Review Documentation to ensure Med B supporting documentation is present
Ensure RUGS 48 process is followed consistently
Ensure facility Restorative Program is in compliance with rules and regulations with supporting documentation
Ensure all supporting documentation is present prior to coding MDS
Ensure timely submission of MDS
Provide Education on all areas within job description and others that may be necessary
Communicate and collaborate with Therapy Company, Administrators, Directors of Nursing, and Compliance specialists in order to resolve any issues
Other duties as assigned by the Administrator and Director of Nursing
Company
ALIYA Healthcare Consulting
Raising the bar on quality care. Provide care and prove quality to enhance and rehabilitate our residents.
Founded in 2022
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Flora Reznik
CFO
Brandy Gregory, BSN, RN
Chief Nursing Officer
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