Job Information
The Buckingham MDS Coordinator/ Registered Nurse, RN in Houston, Texas
The Buckingham is the premier not for profit, Life Care retirement community in the greater Houston region. Our mission is to enrich each resident’s life through exceptional experiences provided within an environment of comfort, elegance, exceptional hospitality and compassionate care. We offer a competitive salary and benefits including medical, dental and vision coverage, 401k with match, PTO, tuition reimbursement and meal programs. We are seeking an experienced professional with the skills, dedication and compassion to join our team and help achieve the mission and vision of The Buckingham.
Position Summary:
The MDS Coordinator is responsible for directing the Resident Assessment Instrument process and care planning process to provide and bill for services in the licensed and certified nursing center. This person will assist the Director of Nursing in directing health related services for the Nursing Center, as they relate to the MDS / Care Plan functions.
Responsibilities:
Maintains current knowledge base of guidelines for Medicare/Medicaid providers.
May conduct pre-admission assessments for residents seeking admission to the nursing center.
Evaluates residents for meeting the criteria for Medicare payment, to include clinical eligibility and availability of Medicare days.
Supervises interdisciplinary team in completing a comprehensive Resident Assessment Instrument, to include Minimum Data Set (MDS), Care Area Assessments (CAA) and CAA Guidelines.
Schedules and certifies on-time completion of RAI process for all Medicare and non-Medicare assessments, according to state and federal guidelines.
Monitors resident health status to identify significant changes and complete re-assessment process.
Analyze all MDS assessments prior to final submission to Center for Medicare/Medicaid Services (CMS) using the standard organizational software (CareWatch)
Transmits RAI data to Center for Medicare/Medicaid Services (CMS) on a scheduled basis.
Upload and submit all MDS data to the standard organizational QAPI software (Abaqis) on a routine and consistent basis.
Communicates with billing personnel to establish Medicare billing accuracy and timeliness.
Supervises interdisciplinary team in developing a plan of care for each resident based on assessments.
Provides education for interdisciplinary team, licensed nurses and unlicensed staff to document services provided according to the plan of care.
Conducts regularly scheduled audits of the services provided by internal and external providers for accuracy and timeliness of documentation to validate billing.
Monitor Quality Measures Report on a monthly basis with particular emphasis on those measures impacting the Federal Five Star System to ensure that residents in the numerator of each measure are coded correctly according to the RAI guidelines.
Performs assists facility interdisciplinary teams in determining MDS accuracy issues related to the Quality Measures
Report to and conduct a monthly drill down with Corporate MDS Specialist to review all quality measures at or above 75%.
Will actively participate in the plan of action with the IDT team to address quality measures at or above 75%.
Coaches the IDT team to develop processes to address MDS accuracy issues
Explains procedures and treatments to resident to gain cooperation, understanding, and alleviate apprehension.
Assist in planning, organizing, and leading the Health Center in order to insure competent nursing care for the residents around the clock.
Be knowledgeable of the established policies and interpreting those policies according to the standards of nursing practice.
Works with various clinical services of institution as needed.
Participates in community quality assessment and improvements programs.
Maintains compliance to all personnel policies, established community policies and procedures, and Federal and State regulations and standards, including but not limited to HIPAA privacy and confidentiality laws.
Other related duties as assigned.
Qualifications:
Bachelor’s degree in Nursing.
Registered Nursing license in good standing.
Experience with the CMS Resident Assessment Instrument process.
Knowledge of OBRA/Federal/State regulations.
Three years of MDS experience in a Long-Term Care setting preferred.
Knowledgeable of standards of care and practices applicable to the delivery of geriatric services, complex medical conditions, multiple medical diagnoses, including preventive measures, rehabilitation, and promoting independence.