Employment Spot

Job Description

Regional MDS Director

As a result of continued growth, we have an exciting opportunity for a dynamic Regional Care Management Coordinator (MDS Consultant) for our North Region to include the states of Michigan and Wisconsin.

Candidate may reside in either state mentioned, close to major airport, preferred.

Summary:

The qualified  MDS consultant will oversee the coordination and education of the care management process and clinical software applications for assigned facilities.

• Provides information and education to facility and regional employees on the importance and use of the RAI / PPS / VA processes and their correlation to resident care and reimbursement. 
•  Provides instruction on how to read, interpret and use the information contained in various state and company generated reports, such as State Missing Assessment Report, Quality Indicators, Quality Measures, State Validation, etc.
• Based on information derived from audits and other available data, the Coordinator provides expertise, consultation and guidance to appropriate employees to ensure MDS accuracy and adherence to company policy and procedures as well as state and federal regulations and guidelines.
• Through analysis of financial and clinical reports, Coordinator identifies trends and areas of improvement and ensures an appropriate action plan is completed.
• Maintains in-depth knowledge of the clinical software billing system and the MDS process to help investigate / troubleshoot user-related software issues.
• Interviews applicants for the Resident Care Management Director position (RCMD) and provides recommendations to the hiring authority.
• Oversees and coordinates the process for a thorough and timely orientation for new RCMDs.
• Ensures current, new, and revised RAI / PPS information is distributed to appropriate employees in a timely manner.
• Provides information to directors, vice presidents, regional staff and corporate on the status of clinical and financial reimbursement.

Frequent overnight travel is may be required.

Job Requirements

• Graduate of accredited school of Nursing or other Allied Health Care Institution with at least a Bachelor’s degree.
• Five- (5) years health care management preferred.  Three (3) years clinical responsibility and experience in multi-facility, long-term care organizations. 
• Knowledge of state and federal regulations, both clinical and financial as it relates to the RAI process and reimbursement systems.
• Current Licensed Registered Nurse.
• Credential Nurse Assessment Coordinator preferred.