Job Description

Job Description

Job Description

Senior MDS/Resident Assessment Coordinator Registered Nurse

We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront. At the end of each day, knowing that you’ve made a meaningful impact in the lives of our residents will be your greatest reward.

Location: Michigan North Region (Supporting two locations)

Why MediLodge?

• Michigan’s Largest Provider of long-term care skilled nursing and short-term rehabilitation services.
• Employee Focus : We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
• Employee Recognition: Regular acknowledgement and celebration of individual and team achievements.
• Career Development: Opportunities for learning, training, and advancement to help you grow professionally.
• Michigan Award Winner: Recipient of the 2023 Michigan Employer of the Year Award through the MichiganWorks! Association.

Key Benefit Package Options?

• Medical Benefits : Affordable medical insurance options through Anthem Blue Cross Blue Shield.
• Additional Healthcare Benefits : Dental, vision, and prescription drug insurance options via leading insurance providers.
• Flexible Pay Options: Get paid daily, weekly, or bi-weekly through UKG Wallet.
• Benefits Concierge : Internal company assistance in understanding and utilizing your benefit options.
• Pet Insurance : Three options available
• Education Assistance : Tuition reimbursement and student loan repayment options.
• Retirement Savings with 401K.
• HSA and FSA options
• Unlimited Referral Bonuses .

Start a rewarding and stable career with MediLodge today!

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. Supports and advises other facilities as assigned.

Qualifications:

• RN required
• MDS experience preferred
• Knowledge of nursing and medical practice and procedures, as well as laws, regulations, and guidelines which pertain to long term care
  

Job Functions:
Reimbursement Requirements:

• Provide support to assigned centers assuring completion of all components of the RAI/Regulatory processes.
• Follow regulations to plan, schedule and assure completion of all components of the RAI process for each resident.
• Utilize medical record, patient assessment and interview, staff interview, family and caregiver interviews as well as the electronic record to assess patients.
• Utilize medical record, patient assessment and interview, staff interview, family and caregiver interviews as well as the electronic record to assess patients.
• Utilize software for completion of RAI components.
• Utilize software to transmit assessments.
• Assure accurate completion of assessments.
• Assure timely completion of all assessments.
• Support IDT team to schedule and complete care plans reviews.
• Complete CAA’s 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

Job Description

• Excellent Resident Care Through Teamwork.
• Maintains schedule of required OBRA and PPS assessments and communicate with IDT team.
• Work with IDT team to plan resident discharges from admission through to discharge.
• Assess resident and review medical record to determine appropriate diagnosis coding and enter codes in to software.
• Complete diagnosis listings, sheets and modify diagnosis codes in relation to changes for patients.
• Coordinate skilled stay for patients following Medicare and Insurance guidelines and contract provisions for Managed Care Part C patients and Dual eligible skilled Medicaid residents as well as private insurance.
• Gather information for insurance authorizations and coordinate authorizations as needed.
• Gather information as needed for insurance re-authorizations and facilitate obtaining authorizations as needed.
• Facility contact for insurance updates.
• Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B and insurance patients.
• Review Triple Check components daily, weekly and monthly to assure compliance with skilled services regulations and contract stipulations. Facilitate team meetings and support for RAI components, Medicare cert components, diagnosis coding components and other areas as needed.
• Participate in daily meeting with facility rehab coordinator.
• 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.
• Support the ADR process, and medical records requests by gathering needed information to present to Medical records to complete requests.
• Review billing process monthly with BOM to assure all required components are accurately reflected on UB04.
• State Specific: CMI, LOCD’s, 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 Focused surveys, 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.

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