You Change Lives. You Make Us Sharp.

Job ID JR160840

Hours:

Shift Start Time:

7 AM

Shift End Time:

3:30 PM

AWS Hours Requirement:

8/80 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

Not Specified

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$67.860 - $78.740 - $89.620

The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO.  Placement within the range is based on years of RN experience.

What You Will Do
The MDS Coordinator coordinates the completion of the Resident Assessment Instrument (RAI) and MDS and facilitates transmission to the Centers for Medicare and Medicaid Services (formerly the Health Care Finance Administration (HCFA). The transmission of the MDS to CMS determines Medicare payment to the facility under the prospective payment system (PPS).

Required Qualifications

• 2 Years long term care experience
• 2 Years recent pertinent clinical experience as defined by the CBA.
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED

Preferred Qualifications

• Bachelor's Degree in Nursing
• 1 Year MDS coordination experience

Essential Functions

• Coordinates assessment of the resident's physical and psychosocial status, diagnosis and plan of care to ensure appropriateness
  Coordinates and facilitates resident care plan conferences with the
  Interdisciplinary Team (IDT) in conjunction with the resident, family, or
  representative as appropriate.
  Communicates to the healthcare team the need to revise the plan of
  care based on the outcome of care conferences and monitors for completion.
  Coordinates all required Resident Assessment Instruments (RAI)
  including MDS and RAP summary per state and federal guidelines to ensure
  timely completion.
  Maintains the RAI/MDS calendar with clear, up-to-date information on
  completion deadlines for each phase of the RAI process for each applicable
  resident. Monitors IDT sections of the RAI for timely completion, and
  notifies individual departments to ensure deadlines are met.
  Monitors the input into each MDS to ensure accuracy and consistency of
  responses across the IDT assessments, acting as facilitator to reconcile
  variances.
  Demonstrates the knowledge and skills to coordinate and facilitate
  care based on the physical, psychosocial, educational, safety and cultural
  criteria appropriate to the age of the residents served.
• Coordinates with clinical evaluator/designated admission nurse to ensure appropriateness of residents for admission
  Facilitates timely transmission of the RAI/MDS per policy and as
  required by the Centers for Medicare and Medicaid Services (CMS).
  Notifies manager/director of any barriers to timely, accurate
  completion and transmission of RAIs/MDS to ensure compliance with
  deadlines.
  Identifies and consistently tracks and analyzes unjustified SNF
  admission/continued stays and denials. Presents this information to
  respective teams and committees for performance improvement opportunities.
  Maintains timely communication with Sharp HealthCare Patient Financial
  Services (PFS) (billing) department regarding resident's payer status to
  ensure payer guidelines are met.
  Tracks resident RUG levels to monitor reimbursement levels. Notifies
  PFS of initial and subsequent changes in RUG levels.
  Complies with payer guidelines on utilization review to promote
  optimal reimbursement.
  Collaborates with IDT regarding medical necessity of SNF stays and
  facilitates timely resident discharge when skilled needs are met.
• Tracks and analyzes RAI/MDS outcomes, finance and quality performance data for trends and assesses current practice in relation to research-based best practice.
  Accesses facility quality indicators from Department of Health (DHS)
  database, analyzes and monitors for trends.
  Collaborates with IDT for quality improvement opportunities and
  implements strategies to meet clinical, quality and financial outcomes.
  Participates on department/facility quality council and presents
  outcome data in collaboration with manager.

Knowledge, Skills, and Abilities

• Knowledge of Title 22 and OBRA, the RAI/MDS process, Utilization Management criteria and healthcare finances.
• Knowledge about care options, clinical goals, anticipated outcomes, regulatory, financial implications and performance improvement.
• Ability to problem solve complex situations.
• Independent judgment, decision making, self-direction and ability to set and achieve priorities.
• Effective written and oral presentation skills.
• Excellent customer service and communications skills and the ability to facilitate and coordinate teams. #FJ

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class