MDS Director

MDS (RN)

Schedule:  Full-Time

Pay Range: Salary - $106,080 - $124,800

Locations: Grants Pass, OR at Highland House

Highland House is seeking an experienced RN to join our team as the MDS RN!

Volare Health portfolio of long-term care skilled nursing and short-term rehabilitation centers located in multiple states. We welcome our residents, their families, and our staff with warm hearts. While you make a difference in the daily lives of our residents, we support you with leading market wages and help guide you along your career path.

Responsibilities:

• Works in collaboration with the interdisciplinary team to assess the needs of the residents.
• Participates in the pre-admission process to ensure essential information needed for MDS optimization is obtained from the referral source(s).
• Assists in the review of resident care and the setting of the ARD to ensure the most appropriate ARD is utilized for Prospective Payment System MDS Assessments.
• Ensures accurate and timely completion of resident assessments according to state and federal regulations.
• Completes accurate coding of the MDS with information obtained from interviews with facility staff, residents and family members, as well as observation of the resident and medical record review.
• Maintains the MDS schedules.
• Obtains, reviews, and maintains State and Federal reports making appropriate corrections.
• Completes required forms and documents in accordance with company guidelines and state and federal regulations.
• Participates in quality assurance activities.
• Monitors nursing documentation for daily skilled services, medical necessity, rehabilitation progress. and ADL function for MDS coding accuracy. Collaborates with DON/DNS to provide education related to MDS/Care Management processes for the facility.
• Reviews MDS validation reports to identify issues and/or processes to ensure accuracy of submitted MDS.
• Tracks and reviews all claim denials to identify problems, and implements processes to prevent future denials.
• Identify clinical reimbursement issues.
• Reviews quarterly State CM resident rosters for accuracy. Corrects any inaccuracies in a timely manner.
• Participates in the coordination and timely completion of Medicare Part A and Part B certification/recertification.
• Reviews medical records, care plans, charting to monitor that documentation supports care provided and meets the skilled coverage requirements for reimbursement.
• Monitors facility practice to ensure compliance with guidelines for participation in Medicare, Medicaid, and other benefit programs. Initiates action needed to ensure compliance.
• Participates in the triple check process prior to releasing claims.
• Other duties and responsibilities as assigned or need.

Qualifications:

• Must have a current, active Registered Nurse (RN) License in State of practice.
• Must be well-versed in inter-personal communications.
• Must be familiar with the RAI process and Case Management.

Benefits:

• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance