Advanced Healthcare Solutions · 16 hours ago
MINIMUM DATA SET (MDS) COORDINATOR – CMM
Kilgore, TX
Full-time
Onsite
Entry, Mid Level
2+ years expAdvanced Healthcare Solutions is seeking an MDS Coordinator to manage the RAI Process while adhering to Federal and State guidelines. The role involves ensuring clinical compliance, managing care plans, and coordinating assessments and services across clinical departments.
Health Care
Responsibilities
Manage the RAI Process from resident admission to discharge in order to maintain clinical compliance and receive funding from Medicare, Medicaid and Managed Care pay sources
Responsibilities include MDS completion in a timely, accurate, documentation-supported and case mix optimized manner; development of individualized care plans reflective of the residents’ status; oversight of the resident care data collection tool; coordination of assessments and services by other clinical departments; liaison to rehab team; audit and survey preparation, implementation and response; managed care clinical authorization and justifications; State-required form completion; activities of daily living (ADL) training and support; restorative nursing program management and other duties related to case mix management
Responsible for managing the daily PPS/OBRA case management meetings; restorative/rehabilitation and level of care meetings
Attends daily start up, stand up, stand down and weekly standards of care meetings in order to identify resident changes that impact the MDS and/or Care Plan
Participates in weekly standards of care meeting and monthly quality assurance and triple check meetings
Supports the clinical goals of the facility and participates as a member of the nursing management team to maintain compliance with State, Federal and company Quality Assurance standards and optimize the residents’ quality of life
Understand, comply with and promote all rules regarding Residents’ rights
Participate in in-service training, assist in implementing orientation programs and job skills training, maintains professional competence
Other duties as assigned
Qualification
Required
Completion of post secondary education or otherwise able to read, write and follow oral and written directions at a level necessary to accomplish the job
Must be able to relate positively and favorably to residents and families and to work cooperatively with other associates
Must be capable of maintaining regular attendance
Must have knowledge of RAI Process, PPS requirements, Texas Case Mix, reimbursement forms and the necessary documentation
Must have computer skills and proficiency
Must have excellent communications and teaching skills in both individual and group settings
Must be capable of performing the Essential Job Functions of this job, with or without reasonable accommodation
Preferred
Prefer two years experience in long term care with a good working knowledge of Medicare/Case Management/Medicaid
Benefits
Health Insurance Portability and Accountability Act (HIPAA)
Company
Advanced Healthcare Solutions
Advanced Healthcare Solutions is a hospital & health care company that offers nursing and rehabilitation services.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase