Job Description:

Summary



Accountable for all aspects of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI), including the Minimum Data Set (MDS), Resident Assessment Protocols (RAPs), and Utilization Guidelines in accordance with the requirements of the State of Massachusetts, Federal regulations, Medicare Guidelines and the policies and procedures of the facility. Complete timely transmission of all MDS' in the facility.



Key Responsibilities



• Accurate completion of the MDS is coordinated in accordance with State, Federal and Medicare PPS guidelines.


• Audits are developed and performed to evaluate the quality, completeness and accuracy of the MDS process and any deficiencies are identified.


• All regulations related to MDS, Medicare PPS and managed care are monitored and supported to ensure compliance.


• Accurate classification of patients in a covered Part A stay according to the Patient Driven Payment Model (PDPM).


• Resident's condition and pertinent medical data is evaluated to determine the need for other Medicare required assessments.


• Patients who are near to not meeting the skilled requirement are identified and action plans are addressed with the team.


• Coordination with administration and the billing department is provided to establish systems that ensure accuracy of information on face sheets, therapy logs and billing records (UB 04s) to support the MDS and RUG's classification, including methods for updating ICD-10 coding.


• Completion of individualized care plans is coordinated in accordance with regulatory requirements.


• Additional department, organization, or network activities are completed per established objectives.


• Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.



Qualifications

• Graduate from accredited Registered Nurse program.


• Required
  
  
  
  
  • Minimum of one year experience in long term care/subacute setting with knowledge of MDS.
  
  
  Preferred
  
  
  
  Licensure
  
  
  
  Required
  
  
  • Current licensure from the Massachusetts Board of Registration to practice professional nursing (RN).
  
  
  Preferred
  
  
  
  Skills (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)
  
  
  Required
  
  
  
  
  • Knowledge of Medicare, Federal, State OBRA regulations and TJC standards.
  
  
  • Computer proficiency required. Microsoft office applications preferred with ability to learn new software.
  
  
  • Highly developed communications and interpersonal skills, working with diverse population.
  
  
  
  
  • Work independently, be self-directed and contribute as a member of a team.
  
  
  • Anticipates challenges and develops and implements strategies for addressing them.
  
  
  • High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
  
  
  • Attention to detail.
  
  
  Preferred
  EPIC experience.

EEO Statement

SRN is committed to diversity in the workplace which begins with respect and opportunity for all. SRN takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law. Apply Now