Regional MDS Consultant (RN)

at  Brickyard Healthcare

We rely on and trust our Regional MDS Consultant to provide extensive training, analysis, direction, action plan/resolution and consultation to the facilities, district and regional teams within his/her area of specialty.

QUALIFICATIONS:

• RN or completion of a Bachelor’s Degree in a health care or related field
• Five to seven years of clinical experience in a long-term care setting, which includes supervisory, administrative, or consultative capacities
• Current knowledge of state case mix and Medicare payment systems
• Capable of maintaining regular attendance
• Must be able to work favorably across departments

• Validates compliance with federal and state regulations as well as Company policy and procedures regarding state case mix/Medicare payment systems, RAI process and operations
• Provides direct consultation, training and support related to the RAI Process. Medicare and state case mix payment system for assigned area.
• Monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant state Medicaid/Medicare payment performance and RAI process completion.
• Responsible for training Registered Nurse Assessment Coordinator (RNAC) on accuracy and systems related to RUG mix, RAI process and Grouper calculation.
• Responsible for effective action plan resolution in areas of RAI process case-mix/Medicare system and action plans to necessary parties.
• Serves as a liaison between state and organization related to the state case-mix process, including electronic submission and state MDS requirements related to state payments.