Job description

· To assure resident safety

· Assist the facility in assuring adherence to federal and state regulations and certification

· Actively participates in the regulatory or certification survey process and the correction of deficiencies

· Report trends from completed audits to the Quality Assurance Committee

· Assures the completion of the RAI Process from the MDS through the completion of the plan of care

· Initiates and monitors RAI process tracking, discharge/re-entry and Medicaid tracking forms through the PCC system

· Follows up with staff when necessary to assure compliance to standards of documentation

· Collect data for each resident and interviews staff and residents as necessary to assure good standard of practice and as instructed in the MDS 3.0 User manual

· Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs

· Provides interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS

· Assures appropriate signatures are obtained as required; maintains staff signature logs

· Ensures that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manual

· Responds to change in conditions appropriately

· Coordinates scheduling notice of patient care planning conference and assures communication of outcomes/problems to the responsible staff, patient and/or responsible party

· Ensures all MDS information and care delivered as outlined in the Care Plan is supported by documentation

· Assist the Administrator/Director of Nursing with monitoring to ensure that a care plan is initiated on every patient upon admission to the center

· Participates in the daily Interdisciplinary Team meeting and communicates needs for changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care Plan

· Acts as a resource person for computer issues that relate to the MDS process; contacts the help desk when indicated. Maintains proficiency in software programs

· Sequence appropriate diagnosis coding for residents

· Corrects and ensures completion of final MDS and submits resident assessment data to the appropriate state and Federal government agencies in a timely manner

· Assigns, assist and instructs all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes

· Ensures timely submission of the MDS to the state with proper follow up on validation errors; maintains validation records from the submission process in a systematic and orderly fashion

· Maintains confidentiality of necessary information

· Maintains assessment on the active clinical record for at least 15 months

· Remains proactive with staying current on all industry changes

· Assist with OIG reviews, ADR's, RAC audits, etc. as needed with professionalism

· Coordinates monthly Triple Check meeting for Medical billing compliance

· Completes LTCMI timely and communicates with BOM regarding payer changes to ensure no loss in Medicaid payment

· As this job description is not intended to be all-inclusive, the employee will be expected to perform other duties as assigned

· Utilize electronic medical record charting: point click care

Job Type: Full-time

Pay: $35.00 - $40.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Medical specialties:

• Geriatrics

Physical setting:

• Long term care

Schedule:

• Monday to Friday

Work Location: One location

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