Job Description

MDS Coordinator-RN

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Job ID: 000EHP
Iuka
Professionals - CASE MANAGEMENT
Part Time - Day

Posting Description

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We believe a career is more than just a career -- it's a calling. Our teammates' "True North" is what calls them to health care; it's their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.

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Review Activities:

Monitors individual cases in relation to established criteria, LOS & patient care guidelines Assures patient is meeting level of care criteria & issues denial of care letters as necessary Intervenes as indicated to promote the timely provision of care & utilization of resources Serves as a resource for physicians & nurses in understanding criteria for continued stay & medical necessity Monitors patient outcomes to evaluate clinical & financial effectiveness Reconciles services rendered with patient benefits & communicates with physicians & 3rd party payers to assure appropriate reimbursement Manages/supervises social work and case management as a team to facilitate discharge planning needs of the patients.

Clinical Practice:

Collaborates with patient care team to move population along the continuum by effectively planning for continued care as moving to another level of care to ensure all patient needs are addressed Assesses social/emotional factors affecting health status of patients & makes appropriate referrals Participates on Discharge Planning Team & initiates d/c planning early in the treatment process based on requirements of the plan of care & needs identified during initial assessment Complies with regulatory and accrediting agency requirements and ascertains that other staff is complying as well through staff development endeavors.

Swing Bed Responsibilities:

Participate on SWB Team and facilitates screening of patients for eligibility Provides SWB information to patients & families as appropriate Monitors patient progress for timely discharge to the appropriate setting Responsible for MDS as required for billing/reimbursement

Reports:

Identifies & reports physicians practice patterns & resource utilization Maintains accurate records of review & discharge planning activities

Customer Service:

Maintains constructive working relationships & communication with physicians, professional staff, and other members of the health care team regarding issues of continued stay & documentation of medical necessity Collaborates with business office to ensure accurate billing and statistical information Collaborates with social worker to identify & coordinate resources, internal and external, to best meet patient needs Competent to communicate on all levels to assess discharge needs of all age groups of patients Participates in educational meetings with physicians office personnel as requested

Requirements:

Currently licensed in Mississippi as a Registered Nurse & in good standing with the State Board of Nursing Minimum of 5 years of experience with a broad base of clinical expertise Ability to read & interpret medical record documentation Ability to operate a PC Good organizational skills & high level of self-initiative Effective verbal & written communication skills Extensive knowledge of various regulatory and accrediting standards. Knowledge of Minimum Data Set (MDS) and care plans in order to facilitate the processing of necessary information to the required agencies.

Requirements

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The following are requirements in addition to any stated in the above description.
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Licenses

You must have the following licenses to apply:

Registered Nurse


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Education

You must have the following education to apply:

Associates of Nursing and Associates of Nursing

You must have a Associates or higher