MDS Coordinator

The MDS (Minimum Data Set) Coordinator/Nurse is an RN or LPN that conducts federally mandated assessments of the residents at a long-term care facility. MDS Coordinators are responsible for collecting integral data and compiling it into a thorough assessment to help determine the functional capacity with appropriate plan of care and to determine the reimbursement for all payer sources in relation to the RUG-IV 66 and RUG-IV 48 system established by the Centers of Medicare and Medicaid Services.

Essential Job Functions:

The MDS Coordinator reports to the facility Administrator

Completion of all OBRA, PPS and Managed Care MDS

Completion of corresponding Admit MDS Tracking Forms, Death in the Facility Tracking Forms and any Discharge Assessments required per the RAI Manual

Completion of all Nursing Care Plans and the coordination of the other disciplines to ensure timely initiation of their Care Plans and/or revised in conjunction with the OBRA schedule and exacerbation of the problem requiring review of the problem, goal or interventions

Care Plan Conferences will be held within the first 21 days of admission and every 90 days thereafter as a minimum standard of practice

Coordination of the Care Plan Conference letters for residents and families (Social Service provides the invitations to the residents and the front office sends the invitation letters to the family members)

Completion of the monthly OBRA calendar by the 20th of the month

Completion of the weekly OBRA, PPS and Care Plan schedule for the IDT

Transmission of OBRA/PPS MDS Assessments to CMS per the Guidelines

Completion and Certifications/Re-certifications when a resident is receiving Medicare Part A Benefits

Coordination of the AB Notices and Medicare Cut Letters

Completion of the 100 day Medicare Part A and Managed Care Log

Completion of the Weekly Medicare Part A/Managed Care and RUG-IV 48 Report

Completion of RUG-IV 48 supporting documentation Audit Tools

Coordination of the RUG-IV 48 Supporting Documentation File Folders

Completion of the ICD-10 DX Module within the EMR System. Completion within 72 hours of admission, review with every re-admission and with every OBRA and/or PPS MDS completion.

Completion and coordination of the Care Area Assessment (CAAs) completion for all Full Comprehensive OBRA Assessment

Completion and Coordinator of the 4 MDS Interviews (BIMS, PHQ-9, Pain and Activity) to ensure completion and signed off within the MDS on the Assessment Reference Date (ARD) or at minimum within the Assessment Reference Period (Observation Period)

Coordination of the completion of the Ancillary Departmental Assessments to provide supportive documentation/validation. These assessments must be completed on the ARD or within the Assessment Reference Observation Period

Weekly Medicare Part A/Managed Care, Medicare Part B and RUG-IV 48 meeting

Coordination of the Insurance/Managed Care/Medicare Replacement caseload and re-authorization for services

Completion and review of the end of the month billing for Triple Check

Reviewing the 24 hour report daily to monitor for any potential Significant Changes in Status and need for an new Full Comprehensive MDS Assessment and/or revisions or development of new Care Plans

Monitoring of the EMR System (ADLs, Restorative Programs, and Mood/Behaviors etc.)

Documentation within POC with each OBRA MDS Assessment ARD period to establish/reinforce accurate ADL coding for the Late Loss ADL's

Printing and Analysis of the Quality Measure/Quality Indicator Reports

Participation in the QI/QM Meetings

Quarterly Review of the HFS Roster

Coordination of the HFS Audit Survey Process (Surveys are random at this time)

Coordination of the MDS Focused Survey Process (Surveys are random at this time)

Coordinate of data collection for the ADR Process (Additional Documentation Requests) for Medicare Part A and B as well as Managed Care.

Other MDS responsibilities per the direction of the MDS Consultant Requirements

Registered Nurse (RN) or Licensed Practical Nurse (LPN)

Optional : MDS Certification - American Association of Nurse Assessment Coordinators (AANAC)

Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, our company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.