MDS-LVN

Description

JOB TITLE: MDS-LVN

JOB CODE: 27

DEPARTMENT: NURSING

FLSA STATUS: NON-EXEMPT

REPORTS TO: ADMINISTRATOR

JOB SUMMARY: The MDS-LVN will assist the Director of Nursing with ensuring that documentation in the center meets federal, state and certification guidelines. The MDS-LVN will coordinate the RAI process ensuring timeliness and completeness of the MDS, CAAS, and 

Interdisciplinary Care Plan.

ESSENTIAL FUNCTIONS: 

• Assist the facility in assuring adherence to federal and state regulations and certification 
• Actively participate in the regulatory or certification survey process and the correction of deficiencies 
• Report trends from completed audits to the Quality Assurance Committee 
• Ensure completion of the RAI Process from the MDS through the completion of the plan of care 
• Initiate and monitor RAI process tracking, discharge/re-entry, and Medicaid tracking forms through the PCC & SimpleLTC systems 
• Follow up with staff when necessary to ensure compliance to standards of documentation 
• Collect data for each resident and interviews staff and residents as necessary to assure good standard of practice and as instructed in the most current MDS user manual 
• Facilitate accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs 
• Provide interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS 
• Ensure appropriate signatures are obtained as required 
• Ensure that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manual 
• Respond to change in conditions appropriately 
• Coordinate scheduling notice of patient care planning conference and ensure communication of outcomes/problems to the responsible staff, patient and/or responsible party 
• Ensure all MDS information and care delivered as outlined in the Care Plan is supported by documentation 
• Assist the Administrator/Director of Nursing with monitoring to ensure that a care plan is initiated on every patient upon admission to the center 
• Participate in the daily Interdisciplinary Team meeting and communicate needs for changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care Plan 
• Relay and/or act upon information from the Clinical Reimbursement Specialist audits 
• Act as a resource person for computer issues that relate to the MDS process; contact the help desk when indicated 
• Maintain proficiency in software programs 
• Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical Reimbursement Specialist Sequence appropriate diagnosis coding for residents 
• Correct and ensure completion of final MDS and submit resident assessment data to the appropriate state and Federal government agencies in a timely manner 
• Assign, assist and instruct all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes 
• Ensure timely submission of the MDS to the state with proper follow up on validation errors; maintains validation records from the submission process in a systematic and orderly fashion 
• Maintain confidentiality of necessary information 
• Remain proactive with staying current on all industry changes 
• Assist with OIG reviews, ADR's, RAC audits, etc. as needed with professionalism 
• Coordinate monthly Triple Check meeting for Medical billing compliance 
• Complete LTCMI timely on TMHP portal and communicate with BOM regarding payer changes to ensure no loss in Medicaid payment 
• Understand and adhere to the guidelines of “Residents Rights” and assure resident safety

Requirements

QUALIFICATIONS:

Required 

• Current LVN license
• CPR certified required; 30 days will be given to complete a course and get certified
• Excellent knowledge of RAI Process, the federal Medicare PPS process, and Medicaid reimbursement as required 
• Thorough understanding of the Quality Indicator process 
• Knowledge of the OBRA regulations and Minimum Data Set Knowledge of the care plan process 

Preferred 

• 2 years nursing experience in long term care/skilled nursing

PHYSICAL REQUIREMENTS: The ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, and reaching up to 50 pounds with or without reasonable accommodations

WORK SCHEDULE: A