MDS Director- Full time

MDS DIRECTOR, Full Time with a $2500.00 sign on Bonus

MAJOR PURPOSE:
To Promote the capture of appropriate clinical reimbursement for services provided while ensuring the highest level of revenue integrity through established reimbursement initiatives. To monitor compliance with all state and federal regulations as relates to MDS completion and coding conventions.

QUALIFICATIONS:

• Registered Nurse with 3+years reimbursement or Case Management,

Utilization review, Claims, Insurance experience in LTC industry.

• Computer literacy (Word, Excel, Power Point, Outlook). Experience with

EMR.

• Demonstrates excellent organization, communication and presentation skills.
• Exemplifies a deadline driven, detail-orientated individual with strong analytical capabilities.
• Ability to provide senior level reports and root cause analysis as related to department.
• Maintains competency in MDS, Medicaid, Medicare, Managed Care requirements.
• Proficient in the current state and federal regulations governing the MDS and billing process within a nursing facility.
• Ability to apply knowledge in state-specific Medicaid and Medicare RUG

methodologies.

• Ability to successfully train new MDS coordinators and IDT members with varying levels of experience as appropriate.
• Ability to conduct themselves with a fair, honest, consistent, and professional temperament.
• Ability to communicate with and elicit support from other IDT members at the facility and/or regional level.
• Exhibits reliable, independent, and self-directed work ethic with the ability to lead others.

PRIMARY FUNCTIONS:

• Optimize reimbursement and identify an opportunity through tracking, trending,

and analyzing relevant data.

• Strategic planning as relates to reimbursement systems.
• Perform compliance and accuracy audits as indicated
• Conduct daily, weekly, monthly reimbursements meetings as outlined by

NHCA.

• Complete MDS as necessary to maintain compliance or fill department

vacancies.

• Initiate Care Plans as necessary
• Provide Care Plan update/review in conjunction with MDS schedule as

necessary to maintain compliance or fill IDT vacancy.

• Provide insight to facility management of Quality Measures and 5 STAR

initiatives.

• Attend and contribute to monthly QAPI meeting
• Participate in survey preparedness and remain on-site during surveyor

activity.

• Respond promptly to inquiries related to MDS and reimbursement.
• Establish, submit and provide follow-up on actions plans for negative

outcomes related to department.

• Assist with orientation and ongoing education for MDS coordinators and other

IDT members as relates to MDS and/or reimbursement processes.

• Provide ongoing education and communicate to the Administrator, DNS or

other clinical staff as appropriate

• Other related duties as assigned.

Applicant QualificationsEdit
You have requested that Indeed ask candidates the following questions:

• How many years of MDS, Managed Care, Reimbursement experience do you have?
• How many years of RN experience do you have?
• Do you have the following license or certification: RN?

• How many years of Long Term Care experience do you have?
• How many years of RN experience do you have?
• How many years of RN MDS experience do you have?
• Do you have the following license or certification: CPR?
• Do you have the following license or certification: Current CT RN?