MDS Manager at Franciscan Ministries

Lemont, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Jun, 26

Salary

120000.0

Posted On

10 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Mds Coordination, Care Planning, Icd 10 Coding, Medicare Certification, Hipics Codes, Appeals, Triple Check, Documentation, Communication, Quality Improvement, Training, Mentoring, Assessment, Chart Review, Regulatory Compliance, Nursing Management

Industry

Hospitals and Health Care

Description

Overview 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. Min USD $114,000.00/Yr. Max USD $120,000.00/Yr.

Responsibilities

The MDS Manager is primarily responsible for organizing, directing, and evaluating resident assessment and care plans according to state and federal guidelines to ensure residents achieve the highest possible level of functioning. Key duties include coordinating the MDS, CAAS, and care planning process, coding ICD-10, tracking Medicare utilization, and overseeing documentation for compliance.