MDS Director - Full-Time
Lake Country Health Services
- Milwaukee, WI
- Permanent
- Full-time
- Oversees and coordinates the development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations
- Coordinating and leading the development of a comprehensive resident assessment and care plan for each resident as chairperson of the center Interdisciplinary Plan of Care team
- Ensuring the face validity of all Minimum Data Sets before electronic submission
- Combine the timely electronic submission of all MDS
- Conducting a monthly review of a random sample of the MDS to ensure accuracy and internal consistency with the medical record
- Coordinate the completion of each resident’s MDS in compliance with all State and Federal requirements
- Calculate triggers and develop resident assessment protocols for initiation of care plan
- Ensure MDSs are completed timely
- Accurately identify each resident’s level of functioning in accordance with RAI manual guidelines
- Ensure each MDS accurately identifies the lowest level of functioning allowable to maximize reimbursement opportunities as allowed by Federal and State Law
- Ensure CNAs, nurses and other disciplines have accurately completed required clinical record documentation timely
- Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
- Make necessary referrals to nursing and therapy departments
- Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
- Review and assess all resident information (including hospital records) to accurately complete MDS scoring
- Train nursing staff on responsibilities for timely and accurate clinical record documentation
- Development
- Ensures Medicare claims relating to MDS pending and therapy pending errors are corrected
- Generate MDS audit reports as needed
- Implementation
- Verified Medicaid billing accuracy
- Verifies and maintains accurate billing for HMO and VA residents
- Compiles monthly and quarterly Medicare/Medicaid default reports
- Ensures MDS submission and report preparation, processing (CASPER, Validation Reports, etc.) and distribution
- Identifies MDS/Census and AR errors for corrections for center billing information
- Provides training on clinical software and Care Tracker
- Participates in interdisciplinary care team
- Stays current with state and federal regulatory changes
- Complies with laws and regulations applicable to position and act in accordance with Center’s Compliance Program
- Attends and participates in in-service training, performance improvement (“PI”) committees and other meetings as scheduled and directed
- Safety
- Knows and follows center rules
- Follows center dress and hygiene policies
- Demonstrates proper use of equipment. Reports equipment needs or repairs
- Follows center smoking policies
- Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate center personnel
- Reports all hazardous conditions/equipment to Supervisor
- Performs duties, which may include transportation of residents, as assigned in Center Disaster Plan
- Uses required protective equipment
- Follows infection control standards, policies and procedures
- Resident Rights
- Knows Resident Rights. Helps the residents/patients exercise and/or protect their rights
- Reports resident/patient complaints to management
- Maintains confidentiality of resident/patient information
- HIPAA
- Follows and adheres to Center’s policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
- Uses and/or discloses only minimum amount of Protected Health Information necessary to complete assigned tasks
- Reports all suspected violation of company’s HIPAA policies or procedures to Center Privacy Designee
- Registered Nurse (RN) in good standing with respective state licensing board
- Clinical experience, education or specialty skills specific to geriatrics
- Demonstrated competence in PPS assessment as well as OBRA compliance
- Excellent clinical assessment skills
- Excellent organization and independent decision-making skills
- Knowledgeable and understands state and federal regulations and guidelines governing the practices of the center
- Excellent interpersonal skills
- Computer proficiency with Microsoft products
- 2+ years of previous experience
- Experience in a fast-paced environment
- Post-acute care or health care experience preferred