LPN MDS

• Works with direction from the Resident Assessment Director.
• Works in collaboration with the Interdisciplinary Team to assess the needs of the resident.
• Participates in the pre-admission process to ensure essential information, needed for MDS/Case Mix optimization, is obtained from the referral source(s).
• Attends the daily PPS Management meeting, to include review of resident care and the setting of the Assessment Reference Date in collaboration with the Interdisciplinary Care Team to ensure the most appropriate assessment reference date (ARD) is utilized for Assessments.
• Completes accurate coding of the MDS with information obtained from interviews with facility staff, resident, and family members as well as observation of the resident and medical record review.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Reviews MDS validation reports to identify issues and/or processes to ensure accuracy of submitted MDS.
• Obtain, review and maintain all State and Federal reports, making appropriate corrections timely in communication with the Resident Assessment Director.
• Coordinates the electronic submission of required documentation to the QIES ASAP database as directed by the Resident Assessment Director per EHSVH Guidelines and State and Federal regulations.
• Communicates regularly with Resident Assessment Director to identify clinical reimbursement issues.
• Completes required forms and documents in accordance with EHSVH Guidelines and state and/or federal regulations.
• Monitors daily: Skilled nurse's notes and ADL performance. Provides on the spot education to staff based on findings.
• Responsible for communicating any changes in resident's condition to the managed care external Case Manager, and negotiates level of care changes as well as any equipment and discharge needs.
• Performs Modifications/Inactivation's of assessment in accordance to CMS Correction Policy and in communication with the Resident Assessment Director.
• Tracks, records and analyzes all defaults and provider liable days. Corrects if appropriate in communication with the Resident Assessment Director. Implements corrective action to prevent further default status.
• For Case Mix State: Reviews quarterly State CM Resident rosters for accuracy. Corrects any inaccuracies in a timely matter.
• Maintains a current knowledge base regarding State and Federal Regulations, PPS and the RAI Process.
• Manages Medicare Part A and B certification/recertification process as directed by Resident Assessment Director.
• Performs ongoing evaluation from pre-admission through discharge to ensure an appropriate reimbursement level for each resident. Evaluates care to ensure that services and products provided match benefits available.
• Reviews medical records, care plans, charting to ensure documentation supports care provided and reimbursement level.
• Participates in triple check prior to releasing claims.
• Participates in quality assurance activities.

• Comply with all Company safety policies, regulations and requirements regarding fire and life safety.
• Comply with all Company safety policies regulations and requirements involving employee safety and patient safety. This includes but is not limited to: a zero tolerance for harassment and violence; following infection control procedures; following safe patient handling as required with your specific job position.
• May be required to assist in the evacuation of patients during emergency situations.
• Meet the general health requirements set forth by the policies of this facility.
• Understand, comply with and promote all rules and regulations regarding residents' rights.
• Promote positive relationships with residents, visitors, and regulators, to include presenting a professional appearance.

• Sit, walk and stand; talk or hear, both in person and by telephone; ability to read and write;
• Ability to sit, (greater than 3 hours) stand or walk for extended periods of time.
• Have a working understanding of English: ability to read and write; ability to understand and follow written and oral instructions; ability to verbally communicate with residents and others; ability to hear and respond to pages.
• Use hands repetitively to operate standard office equipment; reach with hands and arms; and lift up to 20 pounds.
• Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
• Ability to distinguish smells, tastes and temperatures.
• Ability to remain calm in emergency situations and when handling multiple tasks.

• Must adhere to Code of Conduct and Business Ethics policy, including documentation and reporting responsibilities.
• Participate in Quality Improvement activities as assigned.
• Other duties as assigned or needed.
• Ability to understand and apply training from in-service education and ability to instruct personnel during training education and staff meetings.
• This position regularly requires long hours and frequent weekend work.
• This is a position in a health care facility open 24 hours a day, 365 days a year. Rotating shifts as well as holiday and working during inclement weather may be required.

Hilo Benioff Medical Center