Job Summary: Responsible for referral intake process of potential Swing bed patients including communication of accepted patients’ requirements to multidisciplinary team. Analyzes patient records to determine legitimacy of admission, treatment, and length of stay in health care facility to comply with government and insurance company reimbursement policies by performing the following duties personally or thru designee. Prevent and control nosocomial infections in the hospital through the collection, definition, interpretation, and reporting of data; and development and promotion of programs and practices that reduce the risk of infection to patients, staff, volunteers, and visitors.Orienting patient care staff as requested and needed to Infection Prevention standards. The MDS Coordinator, also known as a MDS Nurse, then works with nursing, PT, nutrition, etc., to ensure care plan guidelines for each resident are followed, and compliant with ethical standards and Medicare requirements. MDS is also the key driver for Medicare payment and many Medicaid reimbursement systems and is especially critical for long-term care providers. Care payment level categories, or Resource Utilization Groups (RUGs) are determined by MDS assessments. Small adjustments in the case mix score can result in a significant increase (or decrease) in revenue for which the facility is entitled. MDS Coordinators are responsible for setting RUG levels for each resident and ensuring the facility is getting accurate, and maximum, reimbursement.
Required Certification/Registration: BLS (American Heart Association). Preferred: ACLS, PALS. Current Kansas RN license or e-NLC multistate license.
Education: Associate or Diploma Degree: Registered Nurse. Previous experience preferred.