MDS Manager 

Franciscan Village - Lemont, IL

Exempt

Position Summary

The primary responsibility of the MDS Manager is to organize, direct and evaluate resident assessment and plan of care in accordance with current applicable state, federal guidelines/ regulations and as directed by the Director of Nursing to ensure each resident is encouraged to attain the highest possible level of functioning.

Essential Functions, Key Duties, & Responsibilities

• Assume the authority, responsibility, and accountability of coordinating the MDS, CAAS and care planning process for each resident upon admission:
  • Code ICD 10 codes to the appropriate specificity based on the resident’s needs and treatment plan; create diagnosis sheet for billing when coding is completed.
  • Ensure Medicare certification is initiated and correctly filled out based on the resident’s skilled needs, obtain physician signature timely.
  • Track Medicare utilization by resident including applicable HIPPS codes, days covered, days used, and skilled needs.
• Assist in collection of supporting documentation for appeals from managed care and Medicare residents.
• Oversee and complete triple check at beginning of month for all Medicare, Managed care and outpatient therapies.
• Establish MDS dates for needed assessments upon admission.
• Observe and report changes in residents’ physical and emotional condition to the Unit Nurse.
• Oversee weekly management and update of the 672/802 as needed.
• Manage the care plan process for skilled residents, creating resident care plans for appropriate resident goals, problems, approaches and revisions based on care needs.
• Participate in the residents’ care conferences and communicate resident status to the resident and family.
• Communicate resident status as required per managed care contracts.
• Work with the discharge planner to develop and manage resident’s discharge plan.
• Ensure that nursing documentation reflects the care plan being followed when administering nursing care or treatment.
• Consult with resident’s physician in providing the resident’s care, treatment, rehabilitation, etc. as necessary.
• Participate in the community’s Quality Improvement and Quality Assurance program for the nursing service department.
• Participate in community surveys (inspections) made by authorized governmental agencies as requested.
• Report and assist in investigation of allegations of resident abuse, neglect and/or misappropriation of resident property as needed.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting etc., as needed.
• Create and maintain a professional atmosphere while demonstrating a positive attitude and caring demeanor under all conditions.
• Provide information for forecasting future revenue projections based on past utilization of service, case mix history, and industry trends.
• Develop and implement training on required supportive documentation for the MDS and the electronic health records.
• Promote and respect the dignity and well-being of each resident.
• Encourage resident and/or family to participate in the assessment and care planning process and to attend care plan conference via telephone and written correspondence.
• Provide administration with information regarding quality of care issues.
• Complete MDS’s based on RAI guidelines as needed.
• Serve as a resource to other department personnel regarding resident assessment and care plan development.
• Mentor MDS Nurses so as to foster their professional growth and expand their knowledge of the assessment and care planning process.
• Respond immediately to all crises or calls for assistance as needed.
• Perform other duties as assigned.
• Comply with all policies and procedures and any updates.

Position Requirements

Education: A nursing degree from an accredited college or university

Licenses/Certifications: Current unrestricted license as a Registered Nurse (RN) in practicing state

Experience: 2+ years of MDS experience & nursing management experience

Skills & Abilities:

• The ability to anticipate needs of residents/clients and co-workers in a pro-active fashion seeking to meet those needs even before a formal request is made.
• Excellent verbal and written communication skills.