MDS Nurse F/T

By putting quality first in everything we do for each person we support and for all our staff, we hope to be the service provider and employer of choice in the communities we serve. As a small 95-bed single facility owned and managed facility; our mission is to offer everyone the time, care, warmth and friendship necessary to make this a home for the frail elderly that we serve.MDS Coordinator/RNJob Description:The MDS Nurse must have solid knowledge and expertise in the MDS/PPS process including governmental and state requirements and regulations, as per the RAI Manual, the RNAC assumes a leadership role in order to achieve optimal and accurate reimbursement ,the RNAC under the supervision of the Administrator shall be responsible for:Duties Include:

Management of the overall process and tracking of all Medicare, Medicaid and RUG based documents in order to assure appropriate reimbursement for services provided including but not limited to initiating and maintaining Physician Certifications as required by CMS.

Must have the basic knowledge of billing, cost containment, RUGS hierarchy and associated rates, consolidated billing and denial/expedited review requirements.

Conducting concurrent MDS reviews to assure achievement of maximum allowable RUG categories

He/she will integrate information from all disciplines to ensure appropriate and accurate reimbursement.

Coordinate all required MDS assessment schedules and disseminate to all disciplines in accordance with State and Federal regulations to ensure timely completion, by all disciplines.

Upon completion of the MDS, the MDS team will open care plan reviews, for all initial, annual and significant change MDS’s assessments, the mds team will open the care plans as per the triggered items for the nursing department.

Ensuring timely and effective coordination, implementation, and scheduled review of the residents care plans by the Interdisciplinary Team.

Assumes the responsibility for coordinating monthly billing for Medicare Part A and HMO’s as per policy.

Responsible for preparing and updating Medicare and HMO information for weekly Utilization Review as per policy.

Organizing and coordinating daily PPS meetings with the Director of the Rehabilitation Department or said Representative from the Rehab Department.

Maintain the diagnosis code spreadsheet and submit to the billing department every 3rd business day of the month

Review weekly admission/payer change report

Submit weekly MDS report

Review billing documents as per the triple check process

Maintain Physician Certifications as per CMS guidelines

Provide Medicare Notice of Non-Coverage(NOMNC/ABN)to resident/family or designee as per CMS Guidelines.

Participate in weekly walking rounds

Submit MDS’s to State Data Base using Simple LTC. Review with MDS and IDT team the triggered areas prior to submission

Communicate all discrepancies regarding nursing documentation to the Director of Nursing

Qualifications/Requirements:

Must hold a current Registered Nurse License in good standing within the state of employment

Ability to work well with people and communicate verbally in a pleasant and effective manner.

Ability to follow oral and written instructions

Ability to set priorities and responds to situations in a flexible manner

Assist nursing department in emergency situations as needed

Participate in annual competency reviews

Benefits Offered:

Health, Dental, Vision, and PTO

Competitive Salary

Facility Location: 7600 Southwest 8th Street, Miami, FL 33144Palmetto Subacute Care Center is an Equal Opportunity Employer.