Job Title: MDS Coordinator/Registered Nurse Assessment Coordinator (RNAC)
FLSA Status: Non-Exempt
Job Type: Full Time
General Description/Summary Objectives
We are seeking a talented Registered Nurse Assessment Coordinator (RNAC)/MDS Coordinator for a per diem/PRN role. The Registered Nurse Assessment Coordinator (RNAC)/MDS Coordinator is responsible for the coordination of processes related to resident/patient healthcare assessments and oversees the billing process services of residents within a long-term care facility. The RNAC is also responsible for the development of individualized nursing care plans and care planning.
Essential Duties and Responsibilities
- Demonstrates dependable, regular, and consistent in-person attendance and punctuality.
- Follows regulatory assessment procedures to conduct comprehensive healthcare assessments upon admission of residents. Performs healthcare assessments and reassessments, and formulates individualized nursing plans of care through documentation review, visual observations, discussions with direct care staff, and interviews with residents and family members. Provides assessment data to state and federal regulators, as requested.
- Utilizes the Minimum Data Set (MDS) to code and record assessment data gathered from resident healthcare documentation review, visual observations, discussions with direct care staff, and interviews with residents and family members. Assesses the content of each resident's MDS and medical record to ensure completeness and thoroughness of documentation, including dates, signatures, and necessary contents on all documents.
- Plans, coordinates, and accurately completes the comprehensive MDS through members of the interdisciplinary teams (e.g., nursing, social services, dietary, activities, and therapy staff).
- Utilizes Patient-Driven Payment Model (PDPM) concepts and regulations to assess the health status of residents at the time of their admission and continually thereafter; assesses the level of care of residents in the facility, in compliance with regulations; and assess each resident's plan of care for thoroughness of problem need/identification, comprehensiveness and appropriateness of interventions.
- Monitors resident care to ensure adherence to established plans of care. Coordinates and participates with interdisciplinary team members to develop comprehensive treatment plans specific to each resident.
- Assists in and provides supervision and guidance in the establishment of individual resident care plans. Ensures that: residents’ present/potential problems are identified and prioritized; realistic goals are established and individualized; nursing intervention is appropriate and addresses the problem(s) in a comprehensive fashion; general supervision, guidance and assistance of each resident in carrying out his/her personal health program and plan of care, to assure that preventive measures, treatments, medications, diet and other health services prescribed by the attending physician are promptly carried out and documented; and recommends and implements changes in the administration of direct care, treatment methods, and care plans.
- Frequently visits resident rooms, therapy rooms, and other areas throughout the facility to obtain resident records and other information.
- Codes and records health care assessment data utilizing a standardized assessment instrument.
- Updates nursing care charts, records, and reports, including input into EHR systems.
- Initiates and updates electronic care plans, ICD-10 coding of diagnoses, tracks and completes Medicare certifications and re-certifications, schedules of Minimum Data Sets (MDS) and other duties to facilitate RNAC completion of MDSs and participation in the facility’s triple check billing review process.
- Assesses the resident care planning process completion and accuracy and monitoring the level of care changes and determinations. Ensures that the Minimum Data Set (MDS) form is completed in accordance with State and Federal regulations and medical standards.
- Oversees the development and implementation of individual resident care plans. Functions as a consultant for other disciplines in initiating and developing resident care plans.
- Assists with problem identification (actual/potential), process of goal setting, establishing appropriate interventions, evaluation process and revisions.
- Monitors, determines and revises level of care status. Completes the necessary forms and notifies all disciplines when a level of care determination or change is made. Completes managed care insurance updates, maintains good working relationships with insurance case managers. Communicates insurance review dates and last covered days to appropriate department heads. Completes all insurance appeals in a timely fashion. Uploads all necessary documentation to EHR. Completes billing information and maintains proper documentation required by regulatory agencies.
- Visits residents and evaluates care plans for comprehensiveness and individuality and assesses the achievement or lack of achievement of desired outcome: ensures that the resident's care plan is reassessed and revised according to the evaluation of achievement or lack of achievement of desired outcomes; (from evaluation) reassesses resident problems and goals and interventions for appropriateness, realistic value, priority and reassesses overall plan of care; and (from reassessment) identifies new problem or potential problems, establishes updated and appropriate goals, revises interventions, and continually evaluates nursing care plan and makes revisions according to change in resident's health status.
- Maintains confidentiality of all resident care information.
- Liaises with Department Heads and Supervisors to adequately plan for MDS activities/services.
- Seeks out new methods and principles and incorporates them into existing MDS practices.
- Completes assignments, care plan and other reviews, and other duties, as directed or required by the position, in a timely manner.
- Attends and participates in continuing educational programs and in-services that serve to update and/or maintain clinical skills and knowledge. Pursues training and development opportunities. Strives to continuously build knowledge and skills.
- Respects rights of residents regarding freedom of choice, consent for care and services, refusals of treatment, and implementation of advance directives. Promptly consults with the RN Supervisor, Unit Manager, and/or Social Worker if unsure of proper course of action that respects resident's rights, complies with facility policies and procedures, and is consistent with laws and regulations.
- Exhibits excellent customer service and a positive attitude towards residents/patients.
- Uses appropriate PPE (e.g., masks, gloves, goggles, gowns), as required.
Other Duties and Responsibilities
- Assists in the evacuation of residents during an emergency.
- Makes written and oral reports/recommendations to the NHA, concerning the operation of the RNAC/MDS department, as requested or required.
- May be involved in providing direct nursing care to residents in times of emergency and supervising paraprofessional or non-professional direct care staff.
- Recommends to the NHA and/or Director of Nursing the equipment and supply needs of the RNAC Department.
- Performs related work as required.
Requirements
- Graduate of an accredited school of Nursing. Bachelor of Science degree in Nursing, preferred.
- Registered Nurse License in the Commonwealth of Pennsylvania, or multistate.
- Minimum one (1) years’ clinical nursing experience in a long-term care facility, including the performance of MDS-based nursing assessments and the development of individualized nursing care plans.
- Knowledge of the practices, methodologies, and techniques of professional nursing.
- Knowledge of and experience with Patient-Driven Payment Model (PDPM); Minimum Data Sets (MDS), techniques used to establish, monitor, and evaluate individual care plans; and regulatory requirements associated with nursing assessments.
- ICD-10 coding experience a plus.
- Knowledge of State and Federal regulations and medical standards governing Minimum Data Set (MDS) form completion. Ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies, procedures, etc. relevant to the MDS function.
- Proficiency using Point-Click-Care EHR system preferred.
- Basic computer literacy and ability to navigate a computer within a Windows-based operating system environment.
- Ability to analyze and interpret laboratory and diagnostic tests.
- Ability to speak, read, understand, and interpret the English language. Ability to write and correspond in English, using medical terminology when needed. Ability to communicate effectively in English and interpret written information.
- Ability to analyze and interpret numerical information and perform simple addition, subtraction, multiplication, and division using units of weight measurement, volume, and distance.
- Ability to function independently and make independent decisions when circumstances warrant such action.
- Must have flexibility, personal integrity, and the ability to work effectively and deal tactfully with residents, personnel, and support agencies.
- Possesses patience, tact, enthusiasm, and a willingness to handle residents based on whatever maturity level they are currently functioning.
Required Licenses and Certifications
- Unexpired and active Pennsylvania Registered Nurse License, or multistate license.
- Unexpired and active Resident Assessment Coordinator – Certified (RAC-CT) certification.
- BLS/CPR Certificate
Remote Work
None.
Travel
None.
Job Types: Full-time, Part-time
Pay: $96,429.00 per year
Healthcare setting:
- Long term care
- Nursing home
- Rehabilitation center
Medical specialties:
Schedule:
Experience:
License/Certification:
Work Location: In person
