MDS (RN)
Company: Prestige Health Care Inc
Location: Kalamazoo
Posted on: September 17, 2023
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Job Description:
MDS RN - Clinical Reimbursement Nurse - Offering a $10,000
Sign-on Bonus! Did you know? Caring deeply for others is a valuable
gift, one that you should treasure. Fortunately for you, you can
put that gift to excellent use here at MediLodge of Okemos, and we
will go above and beyond to invest in it AND you as a person.
MediLodge of Westwood is an integral part of our large MediLodge
portfolio of 50 skilled nursing and rehabilitation centers
state-wide, which makes us a leading healthcare provider in
Michigan! We are now accepting applications for a Registered Nurse
(RN) who specializes in MDS. We invite you to see what a career
with MediLodge will mean for you! What Benefits Do We Offer You? *
A generous $10,000 Sign-on Bonus for Full-Time (Limited Time
Available) * Competitive Wages * Excellent Career Advancement
Opportunities That Meet Your Goals * Daily Pay, Weekly Pay,
Bi-Weekly Pay Options Through On-Shift Wallet (stat pay) *
Affordable Medical, Dental, and Vision Benefits for You Your Family
* Employee Benefits Concierge - to Guide You in Maximizing Your
Benefits * Tuition Reimbursement * Student Loan Repayment Program *
Company Paid Life Insurance * Paid Vacation Days with Rollover
Option and Sick Time * 401k Retirement with Company Match * Health
Savings Account (HSA) and Flexible Spending Account (FSA) * Choose
From Three Pet Insurance Options for Your Furry Family Member *
Unlimited Referral Bonuses and more! TEXT: MDS WW to (833) 383-7654
to Apply Thank you for considering a career with us! We can't wait
to meet you! Summary: Provides support, supervision, education, and
training to assigned facilities on the resident assessment
instrument (RAI) process in accordance with all laws, regulations,
and standards. Responsible for the timely scheduling, completion,
and transmission of Minimum Data Set (MDS) assessments.
Qualifications: * Licensed nurse in good standing. Licensed
Practical Nurse (LPN) or Licensed nurse in good standing.
Registered Nurse (RN) * Acceptable background check * Over 21 years
of age * MDS experience preferred * Ability to read, write,
comprehend, and communicate in English, follow oral and written
instructions * Must function independently and have flexibility,
personal integrity and the ability to work effectively with
residents, co-workers, managers, other personnel, and support
agencies * Able to deal tactfully with people, both in person and
over the phone * Aptitude and ability to use office machines and
computer * Able to make independent decisions and possess
problem-solving skills * Able to exercise discernment and make
sound judgments * Knowledge of medical symbols, abbreviations, and
terminology * Knowledge of nursing, medical practice, procedures,
laws, regulations, and guidelines which pertain to long term care
Essential Functions: * Reimbursement Requirements: * Follow
regulations to plan, schedule, and assure completion of all
components of the RAI process of each resident * Utilize medical
record, resident observation, resident interview, family and
caregiver interviews, as well as the electronic record to assess
residents. * Utilize software for completion of RAI components
excluding section V, X, and Z; if RN will complete all sections *
Utilize software to transmit assessments * Assure accurate
completion of MDS exception of requirement of RN signature - if LPN
* Assure accurate completion of MDS - if RN * Assure timely
completion of all MDS assessments * Support Interdisciplinary Team
(IDT) Team to schedule and complete care plan reviews * Complete
all Care Area Assessment (CAA) that trigger and facilitate
development of care plans that coordinate with CAA assessments and
MDS assessments * Attend meetings to determine changes in resident
status to facilitate scheduling of required assessments, to include
significant change assessments * Maintains schedule of required
Omnibus Budget Reconciliation Act (OBRA) and Prospective Payment
System (PPS) assessments and communicate with IDT * Work with IDT
to plan resident discharges from admission through discharge *
Through observation of resident ad review medical record to
determine appropriate diagnosis coding and enter codes into
software. Review hospital discharge summary to assist with
appropriate diagnosis coding. * Complete diagnosis listings,
sheets, and modify diagnosis codes in relation to changes for
residents * Coordinate skilled stay for residents following
Medicare and Insurance guidelines and contract provisions for
Managed Care Part B and C residents, and Dual eligible skilled
Medicaid residents as well as private insurance * Coordinate with
Regional Case Managers * Facility contact for insurance updates *
Facilitate the weekly utilization review of patients on skilled
services for Medicare A, and insurance patients * Review Triple
Check components weekly and monthly to assure compliance with
skilled services regulations and contract stipulations. Facilitate
team meetings and support for RAI components, Medicare
certification components, diagnosis coding components, and other
areas as needed * Participate in daily meetings with facility
rehabilitation coordinator to review minutes, ICD10 diagnosis
coding, activities of daily living (ADL) scores, and to track
change of therapy (COT) needs as well as end of therapy (EOT) needs
for PPS assessments * Determine, along with IDT team, what the
reason for skilled services will be and coordinate care with IDT
team to assure providing these skilled services * Initiation,
completion of physician/practitioner certifications as needed and
assure practitioner signatures and dates are completed. * Maintain
physician/practitioner signature logs * Support the ADR process and
medical records as needed * Review billing process monthly with BOM
to assure all required components are accurately reflected on UB-04
* Gather, prepare, and present MDS related operations call
information * State Specific: case mix index (CMI), level of care
determination (LOCD), tracking tools, Part B logs are completed
monthly. Assure access and logins needed to gather and complete
required components. * Assure RAI components of regulations are in
compliance * MDS exception reviews per each individual state
guidelines, coordinate RAI component. * Five Star Rating System:
QM's and how to access and read reports. Support clinical by
communicating QM flags on an ongoing basis. Support facility team
in management of QM's * Complete required in-services monthly *
Complete MDS focused training as required
Knowledge/Skills/Abilities: * Project a positive attitude, treat
everyone encountered with acceptance, respect and consideration,
and model courteous behavior * Demonstrate a spirit of cooperation,
promote harmonious working relationships, seek win-win solutions to
problems and disagreements * Communicate with other departments,
provide input, take an active role in problem solving, and support
the final solutions * Actively participate in team development to
enhance the cohesion and performance of the group * Embrace
mistakes, constructive guidance and critiques as opportunities for
growth and learning * Demonstrate dependability and set a good
example for acceptable attendance * Dress professionally * Attend,
participate and present in-services and meetings * Pursue
continuing education to obtain new ideas and broaden knowledge
base, maintain credentials etc. * Support and assist in launching
new policies and procedures * Show initiative and independence to
complete responsibilities timely and efficiently * Flexibility to
adjust own responsibilities and timetables to meet the needs of
staff, department and facility * Embrace, uphold and follow rules,
regulations and facility policies * Identify and communicate
quality concerns, participate in quality assurance (QA), and
meetings as requested * Adhere to and uphold the corporate
compliance code of conduct and program * Actively and
enthusiastically support the philosophy and goals of the
organization * Fully participate in facility best practices
protocols * Promote, support and participate in facility activity
and public relations programs * Perform other tasks, as requested,
to meet the goals and objectives of the organization
Keywords: Prestige Health Care Inc, Kalamazoo , MDS (RN), Healthcare , Kalamazoo, Michigan
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