Description
The MDS Nurse supports Engage Consulting clients by providing a variety of tasks, such as MDS completion, case mix review, and auditing services that are related to CMS initiatives, regulatory compliance, MDS coding, billing, and reimbursement accuracy. The successful candidate will excel in critical thinking, accuracy, and MDS completion skills while thriving in an environment that supports the work being a hybrid of remote and in-person. This position reports to the Director of Clinical Consulting.
Essential Functions Of The Job
- Responsible for the coordination, completion, and submission (including timing and scheduling) of mandated OBRA and Medicare
- MDS assessments, as assigned.
- Responsible for the development, review, and/or revision of resident specific care plans as a member of the interdisciplinary team, in coordination with the completion of MDS assessments following RAI Guidelines.
- Responsible for contributing to and attending key meetings in the facility in-person and remotely including but not limited to morning meeting, Case Mix, Quality Measure, and Medicare/Utilization Review
- Provide interim MDS completion services, as assigned focusing on accurate scheduling, completion, and submission of MDS following RAI Guidelines.
- Provide technical review of audits with ability to focus on reimbursement accuracy/optimization, Case Mix Management, Quality
- Measure Management, and MDS accuracy reviews.
- Maintain clinical and regulatory knowledge in accordance with current geriatric care standards of practice, including but not limited to Federal Survey Requirements, MDS 3.0 RAI Manual, federal and state health regulations, CMS Requirements of Participation, and payor guidelines.
- Consistently demonstrate sound judgement and provides ethical guidance to customers for SNF practices.
- Provide direct assistance to the Senior Practice Manager and Director of Clinical Consulting as requested.
- Must be familiar with Electronic Medical Record (EMR) programs including Point Click Care, Matrix Care, and therapy software systems.
- Ability to work a hybrid schedule of remote as well as in-person facility representation.
- Consistently portray the mission, vision, core values, cornerstones and professional image of Engage Consulting, exercise good judgement in the performance of the job.
- Special projects and other duties as assigned.
Requirements
Required Qualifications:
- Registered Nurse (RN) or Licensed Practical Nurse (LPN) with active Nursing licensure.
- Minimum two years of experience performing MDS completion in a SNF.
- AAPACN Resident Assessment Coordinator Certification (RAC-CT) preferred.
- Intermediate knowledge of SNF Reimbursement and Billing Regulations, including but not limited to RAI guidelines, PDPM Reimbursement, Case Mix Management, and specific state nursing documentation guidelines.
- Intermediate knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook).
Core Competencies
Healthcare Billing Expertise, Relationship Management, Project Management, Excellent Interpersonal Skills, Care Plan Development, Technological Skills, Problem-Solving and Analytical Skills, Critical Evaluation, Cultural Awareness, Ethical Practice, Ability to Exercise Independent Judgement and Discretion, Maintain Confidentiality.