Regional RAI Specialist
Job title: Regional RAI Specialist in Tennessee at PACS Group
Company: PACS Group
Job description: General PurposeThe primary purpose of your job position is to oversee the facility to ensure assessments are completed per guidelines. A primary focus is the resident assessment process, which includes individual assessment, MDS assessment, and resident plan of care.Essential Duties
- Provides oversight on facilities’ weekly PDPM meetings for skilled patients.
- Tracks and monitors each building’s effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
- Creates meaningful and effective clinical reporting systems between RDO and RDCS
- Holds Regional MDS workshops monthly on PDPM and other CMS related regulations.
- Tracks and monitors QM and QASP performance monthly and quarterly and provides data analysis and clinical recommendations to the facility for optimum outcomes.
- Assists RDCS in reviewing MDS/PDPM claims monthly for accuracy and in creating trend analysis of clinical areas for improvement.
- Provides PDPM and MDS trainings to new MDS Coordinators.
- Develops performance evaluation system for MDS Nurses in coordination with facility Administrators.
- Ensures all areas, which are triggered on the resident assessment protocol summary are included on the resident’s plan of care
- Assesses and determines the health status and level of care of all new admissions.
- Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
- Communicates level of care for new resident to all disciplines.
- Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new
- admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards.
- Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay.
- Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
- Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records.
- Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.
- Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.
- Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established, and nursing intervention is appropriate.
- Evaluates resident care plans for comprehensiveness and individuality.
- Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately.
- Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
- Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
- Maintain the confidentiality of all resident care information including protected health information.
- Provides oversight on facilities’ weekly PDPM meetings for skilled patients.
- Tracks and monitors each building’s effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
- Creates meaningful and effective clinical reporting systems between RDO and RDCS
- Holds Regional MDS workshops monthly on PDPM and other CMS related regulations.
- Tracks and monitors QM and QASP performance monthly and quarterly and provides data analysis and clinical recommendations to the facility for optimum outcomes.
- Assists RDCS in reviewing MDS/PDPM claims monthly for accuracy and in creating trend analysis of clinical areas for improvement.
- Provides PDPM and MDS trainings to new MDS Coordinators.
- Develops performance evaluation system for MDS Nurses in coordination with facility Administrators.
- Ensures all areas, which are triggered on the resident assessment protocol summary are included on the resident’s plan of care
- Assesses and determines the health status and level of care of all new admissions.
- Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
- Communicates level of care for new resident to all disciplines.
- Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new
- admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards.
- Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay.
- Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
- Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records.
- Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.
- Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.
- Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established, and nursing intervention is appropriate.
- Evaluates resident care plans for comprehensiveness and individuality.
- Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately.
- Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
- Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
- Maintain the confidentiality of all resident care information including protected health information.
- This position has supervision duties.
- Provide regional support, training and mentorship to MDS Coordinators in assigned region.
- Schedule - average week: provide on-site support 4 days/week, provide remote support 1 day/week
- RN license in good standing in Tennessee
- MDS certified - RAC-CT
- Recent experience with MDS 3.0
- Recent Experience in skilled nursing facilities
Expected salary:
Location: Tennessee
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