Posted: Monday, March 13, 2017 1:46 AM
Under the direction of the facility Director of Case Management, the MDS Coordinator/ Case Manager serves as the coordinator of the interdisciplinary team for the patients admitted to the transitional care unit; the administration of therapy minutes, clinical documentation, discharge planning, and judicious use of resources for patient care. Assigns the Resource Utilization Groups (RUGs) for each patient, monitors the utilization of resources and the assignment of RUG payment periods associated with the Minimum Data Set (MDS) schedules. In collaboration with the Director of Admissions and CBO, assures appropriate RUG category and UB 92 coding. Develops and maintains on:going MDS schedules for each patient. Accurately compiles data required for the MDS and electronically submits the required data in a timely manner. Performs other related duties as assigned or requested. Maintains current knowledge of federal, state, and local government regulations and legislation regarding provision of care in a skilled nursing unit; implements changes as required.Exhibits knowledge and expertise in use of the Minimum Data Set 2.0 (MDS), Resource Utilization Groups (RUGs), Triggers, Resident Assessment Protocol Summaries (RAPs), plans of care, discharge plans, and document requirements for skilled nursing units.Collaborates with the care team re: assignment of observation and look:back periods, patient care conference; informs the interdisciplinary team regarding changes in the look:back periods for MDS completion and implementation of significant change MDS/plan of care processes.Determines the RUG categories of Medicare payments for patients, based on the MDS assessments in collaboration with the team.Reviews and sends the RUG categories of Medicare payments to the CBO within the required timeframes.Uses the MDS software to assign the admission RUG category for payment.Establishes individual MDS schedules and coordinates inter disciplinary assessment activities for each patient, as required.Encodes, edits, locks, and electronically transmits each MDS, within the required timeframe.Audits clinical documentation on a regular basis to determine that it reflects the MDS coding and plan of care for each Medicare patient; recommends and implements documentation policies and procedures as necessary.Education and Training:. Graduation from an accredited school of professional nursing and holds current licensure as a Registered Nurse by the Board of Nurse Examiners of the State of Texas. Experience: Prior inpatient medical:surgical experience or skilled nursing experience. Experience with completion and electronic submission of the MDS required. Experience as a case manager or discharge planner preferred. Knowledge, Skills, and Abilities:Current nursing assessment knowledge.Ability to develop plans of care.Ability to document patient care outcomes.Basic computer knowledge.Ability to organize and implement MDS and plan of care schedules.Ability to read and communicate effectively in English; additional languages preferred.Clerical ability to document completely and accurately in medical record.Cognitive ability to implement the nursing process with (as appropriate) pediatric, adolescent, adult and geriatric patients in the skilled nursing anizational ability to complete tasks in a timely and efficient manner.Ability to motivate staff in performance of patient care.Capacity to relate to people in a manner to win confidence and establish rapport.Flexibility to adjust to changing conditions and the various details of the job.
• Location: San Antonio
• Post ID: 23754488 sanantonio