Regional MDS Specialist

General Purpose

The MDS Specialist facilitates the completion of resident assessments in partnership with the Administrator, clinical team, and the Utilization department. They ensure appropriate clinical services are provided and optimal reimbursement is captured for each resident in accordance with accepted standards of nurse practice and federal and state regulations.

Essential Duties

• Participate in ongoing care in collaboration with the physician, Director of Nursing Services (DNS), clinical team members, social services, physical therapy, the resident, and the resident’s family by tailoring care to meet individual needs of the resident.

• Partner with the clinical leadership team to facilitate the assessment and care planning process through the completion of the MDS, as scheduled for each resident.

• Ensure accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change assessments.

• Communicate level of care for new admissions and ensure all areas triggered on the resident assessment protocol summary are included in the resident’s plan of care.

• Provide education and monitoring of facility utilization management systems and processes that support accurate claims and billing.

• Develop and implement standardized training modules, and training and in-servicing of new and current MDS staff.

Supervisory Requirements

This position does not have any supervisory requirements.

Qualification Education and/or Experience

• Participate in ongoing care in collaboration with the physician, Director of Nursing Services (DNS), clinical team members, social services, physical therapy, the resident, and the resident’s family by tailoring care to meet individual needs of the resident.

• Partner with the clinical leadership team to facilitate the assessment and care planning process through the completion of the MDS, as scheduled for each resident.

• Ensure accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change assessments.

• Communicate level of care for new admissions and ensure all areas triggered on the resident assessment protocol summary are included in the resident’s plan of care.

• Provide education and monitoring of facility utilization management systems and processes that support accurate claims and billing.

• Develop and implement standardized training modules, and training and in-servicing of new and current MDS staff.

Language Skills

Must have strong written and verbal communication skills. Mathematical Skills High school level mathematics preferred.

Reasoning Ability

Provide accurate, detailed responses and build effective working relationships. Ability to work collaboratively with key stakeholders. Detail-oriented and able to maintain confidential and private personnel data.

Certificates, Licenses, Registrations None required.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Additional Information Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in

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• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
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