MDS Coordinator (PCC) LVN (23753)

**$5.000 SIGN-ON BONUS !!** **Job Summary:** The overall purpose of the **MDS Coordinator** position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing. **Qualifications:** - A current, valid Texas nursing license is required (RN, LVN) - At least 2 years of LTC experience preferred. - Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities. - Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment. - Ability to effectively communicate, direct, and at times, delegate tasks. - Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. - Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures. - Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the public. **Essential Functions:** - Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations. - Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination. - Attends standup meetings every weekday morning. - Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery. - Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines. - Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis. - Initiates and updates the physician certifications for each Medicare Part A Patient. - Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient. - Reviews the 24-hour Nursing report to capture possible change in condition of a Patient. - Prepares for all Medicaid audits. - Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing. - Achieves at least budgeted rates expectation. - Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees responsibility to enforce it. - Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems. - Responsible for assuring patient/resident safety. - Performs other duties and/or tasks as assigned. #HP ***We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.*** *Please visit http://cantexcc.com for more information on this location.*