Mds Rn Manager

Overview
It\'s fun to work in a company where people truly BELIEVE in what they\'re doing Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work. Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job. Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care. The MDS Manager - RN provides necessary and accurate documentation for resident and patient assessments and care plans in accordance with company standards and federal, state, and local standards, guidelines, and regulations while serving as the team leader of the interdisciplinary team.
Responsibilities
Operations Management
Manages and oversees the RAI process and submission process by validating and monitoring reports (EHDS).
Plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care.
Ensures departmental team plans, develops, organizes, and communicates assessment and care plan information to staff members in order to optimize resident and patient care.
Oversees and/or completes the computer data entry and electronic submission process for MDS transmission (EHDS).
Manages Medicare and managed care logs, directing decision making regarding insurance coverage, cut dates, and MDS schedules.
Oversees skilled resident and patient statuses to maximize reimbursement.
Oversees Medicaid resident statuses to maximize case mix scores.
Participates in care conferences.
Remains available during surveys and audits of the facility and/or the facility's documentation.
Assists with insurance appeals by reviewing documentation coded on MDS and verifying for consistency.
Attends all employee and departmental meetings with in-service training as scheduled or as directed.
Quality, Compliance, and Risk Management
Manages the interdisciplinary team to ensure accurate and timely MDS, CAA, and Plan of Care documentation.
Provides final review of MDS and Plan of Care documentation of all disciplines offering education and advice as necessary and provides authorization.
Maintains and communicates schedule of MDS and Plan of Care due dates.
Keeps up to date on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement issues.
Administration and Reporting
Maximizes reimbursement through team education, planning, and accurate and timely MDS assessments.
Assists with reviewing and addressing issues with quality measures, survey findings, quality assurance findings, and other findings and/or survey results as assigned.
People Management and Development
Supervises MDS Nurses.
Fosters a positive work environment that attracts, retains, and motivates employees.
Interviews, selects, and orients new direct reports.
Defines, establishes, and promotes performance expectations so direct reports understand and demonstrate excellence through high quality and consistent performance.
Evaluates job performance of direct reports in accordance with the company policy and procedure and provides developmental guidance to staff for improved performance and growth.
Monitors accountability with organization requirements prescribed by the Employee Handbook. Documents and engages employees who are routinely not observing these requirements in an effort to achieve compliance. Works with Human Resources when circumstances arise that necessitate further documentation and intervention.
Participates in the development, planning, scheduling, conducting, and monitoring of in-service training programs, on-the-job training, and orientation programs for departmental staff.
Ensures that there is a reasonable and sufficient plan for staffing should a direct report be absent or a direct reporting position be vacant.
Responds timely and thoughtfully to questions, requests, and work product from departmental staff that has been provided for review and approval.
Qualifications
Education
Nursing degree from an accredited college, university or vocational school required.
Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required.
Experience
Five years experience with MDS required.
Two years experience in a supervisory role required.
Three years experience as a nurse in a long-term care facility required.
Two years experience in rehabilitative and restorative nursing practices required.
Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care with special emphasis placed on documentation.
Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
Proficiency with electronic medical records (EMR) systems required.
Other Requirements
Must be able to read, write, speak, and understand the English language
Working Conditions And Special Requirements
Sitting - Up to 8 hours/day
Standing - Up to 8 hours/day
Walking - Up to 6 hours/day
Lifting, transferring, pushing or pulling residents/patients or equipment/supplies - Up to 50 pounds
On-call availability - As assigned
Subject to falls, burns from equipment, odors, and cuts - Workday
Subject to residents/patients with various disease processes - Occasional
May be exposed to infectious waste, disease, conditions, etc. including exposure to the AIDS and Hepatitis B viruses - Work day
Risk Category for Exposure to Bloodborne Diseases - I
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Business Development and Sales
Industries
Hospitals and Health Care
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