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Alameda Health System · 1 week ago

AHD Minimum Data Set (MDS) Coordinator - PB

Alameda, CA

Full-time

Onsite

Entry, Mid Level

1+ years exp

Alameda Health System is seeking a Minimum Data Set (MDS) Coordinator responsible for the timely and accurate completion of the Federal and State assessment tool. The role involves coordinating resident assessments, ensuring compliance with healthcare regulations, and facilitating effective communication among healthcare teams.

Health CareHospital

Comp. & Benefits

Responsibilities

Physically assess each resident and interviews staff as necessary to ensure good standard of practice and as instructed in the Minimum Data Set User's Manual

Coordinates scheduling and notice of resident care planning conferences and ensures communication of outcomes/problems to the responsible staff or resident

Designs, promotes and organizes Resident education and counseling based on health needs

Ensure all MDS information and care delivered is as outlined in the care plan and supported by documentation

Facilitates accurate determination of the Assessment Reference Date; Provides interdisciplinary schedule for all Minimum Data Set assessments and care plans as required by OBRA and PPS

Assists Case Manager with the transfer of patients to other health care providers or to home

Transfer responsibilities include determining the appropriate level of care placement in collaboration with the physician, patient, and family, if appropriate; discussing available insurance benefits with the health care team following verification by the Business Office; obtaining required authorizations and ordering/or arranging for DME, SNF, and transportation; and referring personal payment issues to the Financial Analyst as soon as possible to minimize reimbursement

Obtains appropriate signatures as required

Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the most recent version of the RAI User's Manual

Assesses for significant changes using the 24 hour report, physician orders, and verbal reports to ensure that the Minimum Data Set and care plans are reflective of those changes

Communicate needed changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of Minimum Data Set, RAPS, and care plans

Corrects and ensures completion of the final Minimum Data Set and submits resident assessment data to the appropriate State and Federal government agencies

Ensures timely submission of the MDS's to the State with proper follow up on validation errors

Maintains validation records from the submission process in a systematic and orderly fashion

Assigns, assists, and instructs all staff in the RAI Process, Case-Mix, PPS Medicare, Medicaid, and the clinical computer system in relation to these processes

Responds to Resident and family concerns; ensures that each concern is documented and a resolution is initiated and presented weekly at Medicare or Utilization Review meetings