Apply on Employer Site

Ohio Living · 22 hours ago

MDS RN Manager

Greater Cleveland

Full-time

Onsite

Senior Level

5+ years exp

Ohio Living is a company dedicated to making a difference in the lives of those in need of healthcare across Ohio. The MDS Manager - RN is responsible for managing the MDS process, ensuring accurate documentation, and leading the interdisciplinary team to optimize resident and patient care.

Health CareHome Health CareHospitalNon Profit

Hiring Manager

Stephanie Kyger

Responsibilities

Manages and oversees the RAI process and submission process by validating and monitoring reports (EHDS)

Plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care

Ensures departmental team plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care

Oversees and/or completes the computer data entry and electronic submission process for MDS transmission (EHDS)

Manages Medicare and managed care logs, directing decision making regarding insurance coverage, cut dates, and MDS schedules

Oversees skilled resident and patient statuses to maximize reimbursement

Oversees Medicaid resident statuses to maximize case mix scores

Participates in care conferences

Remains available during surveys and audits of the facility and/or the facility’s documentation

Assists with insurance appeals by reviewing documentation coded on MDS and verifying for consistency

Attends all employee and departmental meetings with in-service training as scheduled or as directed

Manages the interdisciplinary team to ensure accurate and timely MDS, CAA, and Plan of Care documentation

Provides final review of MDS and Plan of Care documentation of all disciplines offering education and advice as necessary and provides authorization

Maintains and communicates schedule of MDS and Plan of Care due dates

Keeps up to date on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement issues

Maximizes reimbursement through team education, planning, and accurate and timely MDS assessments

Assists with reviewing and addressing issues with quality measures, survey findings, quality assurance findings, and other findings and/or survey results as assigned

Supervises MDS Nurses

Fosters a positive work environment that attracts, retains, and motivates employees

Interviews, selects, and orients new direct reports

Defines, establishes, and promotes performance expectations so direct reports understand and demonstrate excellence through high quality and consistent performance

Evaluates job performance of direct reports in accordance with the company policy and procedure and provides developmental guidance to staff for improved performance and growth

Monitors accountability with organization requirements prescribed by the Employee Handbook. Documents and engages employees who are routinely not observing these requirements in an effort to achieve compliance. Works with Human Resources when circumstances arise that necessitate further documentation and intervention

Participates in the development, planning, scheduling, conducting, and monitoring of in-service training programs, on-the-job training, and orientation programs for departmental staff

Ensures that there is a reasonable and sufficient plan for staffing should a direct report be absent or a direct reporting position be vacant

Responds timely and thoughtfully to questions, requests, and work product from departmental staff that has been provided for review and approval

Qualification

Registered Nurse (RN)MDS experienceSupervisory experienceLong-term care experienceElectronic medical records (EMR)Nursing practices knowledgeMicrosoft OfficeEnglish language proficiency

Required

Nursing degree from an accredited college, university or vocational school required

Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required

Five years experience with MDS required

Two years experience in a supervisory role required

Three years experience as a nurse in a long-term care facility required

Two years experience in rehabilitative and restorative nursing practices required

Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care with special emphasis placed on documentation

Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required

Proficiency with electronic medical records (EMR) systems required

Must be able to read, write, speak, and understand the English language