GENERAL RESPONSIBILITIES

Participates in prospective residents' admission process in terms of their nursing needs and appropriate placement.

Determines potential Resource Utilization Groups (RUGS) and expense associated with a potential admission.

Reviews all applications for admission, followed by on-site or phone assessment and communicate results of assessment to the Admissions Coordinator.

Complete and assure the accuracy of the MDS process for all residents.

Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations.

Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid Reimbursement.

Facilitate problem-solving for complicated admissions.

Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission.

Develops care plans and assessment schedules for residents.

Utilizing the RAI, MDS 3.0, QM, CBQM, and MBP manuals to inform activities and assessments.

PREREQUISITES

A bachelor's degree in nursing along with a valid state nursing license.

Medical terminology knowledge.

Exceptional mathematical skills and ability to apply them to tasks such as analysis of variance and sampling theory.

Previous experience in a clinical and healthcare setting; experience as an MDS coordinator preferred.

An understanding of the MDS 3.0 assessments and procedures.

Knowledge of state and federal regulations.

A solid understanding of data collection, reporting, and analysis.

PREFERRED SKILLS

Excellent leadership skills.

Strong organizational and analytical skills.

Strong written and verbal communication skills.

Ability to work independently with limited supervision.