North Shore Health · 1 hour ago
MDS Director - Full-Time 1st Shift
Summit, WI
Full-time
Onsite
Lead/Staff, Director/Executive
2+ years expNorth Shore Health is a leading provider of skilled nursing and rehabilitation services in the Upper Midwest. The MDS Director is responsible for the direction and administration of the Resident Assessment Instrument (RAI) process, ensuring accurate and timely completion of resident assessments in compliance with regulations and maximizing reimbursement opportunities.
Assisted LivingHealth CareMedicalNursing and Residential CareRehabilitationWellness
Responsibilities
Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the center Interdisciplinary Plan of Care team
Ensuring the face validity of all Minimum Data Sets before electronic submission
Combine the timely electronic submission of all MDS
Conducting a monthly review of a random sample of the MDS to ensure accuracy and internal consistency with the medical record
Coordinate the completion of each resident’s MDS in compliance with all State and Federal requirements
Calculate triggers and develop resident assessment protocols for initiation of care plan
Ensure MDSs are completed timely
Accurately identify each resident’s level of functioning in accordance with RAI manual guidelines
Ensure each MDS accurately identifies the lowest level of functioning allowable to maximize reimbursement opportunities as allowed by Federal and State Law
Ensure CNAs, nurses and other disciplines have accurately completed required clinical record documentation timely
Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
Make necessary referrals to nursing and therapy departments
Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
Review and assess all resident information (including hospital records) to accurately complete MDS scoring
Train nursing staff on responsibilities for timely and accurate clinical record documentation
Ensures Medicare claims relating to MDS pending and therapy pending errors are corrected
Generate MDS audit reports as needed
Verified Medicaid billing accuracy
Verifies and maintains accurate billing for HMO and VA residents
Compiles monthly and quarterly Medicare/Medicaid default reports
Ensures MDS submission and report preparation, processing (CASPER, Validation Reports, etc.) and distribution
Identifies MDS/Census and AR errors for corrections for center billing information
Provides training on clinical software and Care Tracker
Participates in interdisciplinary care team
Stays current with state and federal regulatory changes
Complies with laws and regulations applicable to position and act in accordance with Center’s Compliance Program
Attends and participates in in-service training, performance improvement (“PI”) committees and other meetings as scheduled and directed
Knows and follows center rules
Follows center dress and hygiene policies
Demonstrates proper use of equipment. Reports equipment needs or repairs
Follows center smoking policies
Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate center personnel
Reports all hazardous conditions/equipment to Supervisor
Performs duties, which may include transportation of residents, as assigned in Center Disaster Plan
Uses required protective equipment
Follows infection control standards, policies and procedures
Knows Resident Rights. Helps the residents/patients exercise and/or protect their rights
Reports resident/patient complaints to management
Maintains confidentiality of resident/patient information
Follows and adheres to Center’s policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
Uses and/or discloses only minimum amount of Protected Health Information necessary to complete assigned tasks
Reports all suspected violation of company’s HIPAA policies or procedures to Center Privacy Designee
Qualification
Required
Registered Nurse (RN) in good standing with respective state licensing board
Clinical experience, education or specialty skills specific to geriatrics
Demonstrated competence in PPS assessment as well as OBRA compliance
Excellent clinical assessment skills
Excellent organization and independent decision-making skills
Knowledgeable and understands state and federal regulations and guidelines governing the practices of the center
Excellent interpersonal skills
Computer proficiency with Microsoft products
Experience using MDS software computer system and software including proficiency in Microsoft Office Word and an email system
Strong oral and written communication skills
Strong organizational and project management skills
Ability to work with all levels of employees
Ability to read, write, speak and understand English
Ability to relate positively, effectively, appropriately with residents/patients, families, community members, volunteers and other center staff
Working knowledge of the MDS and RAI process with strong interest in Medicare, Medicaid, and other payor reimbursement systems
Demonstrates basic computer knowledge and ability with an aptitude to learn company applications
Preferred
2+ years of previous experience
Experience in a fast-paced environment
Post-acute care or health care experience preferred
Company
North Shore Health
North Shore Health and its facilities proudly serve communities in Wisconsin, Minnesota, and North Dakota by offering long-term skilled nursing care, short-term rehabilitation, and assisted living facilities.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Darren Gee
Chief Executive Officer
Katherine Davis
Chief Development Officer
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