Registered Nurse - MDS Coordinator

Bestica

Charlotte, NC

JOB DETAILS
SKILLS
Acute Care, Aftercare, Backup Software, Basic Life Support (BLS), Billing, Budgeting, Centers for Medicare and Medicaid Services (CMS), Certified MDS Coordinator (CMDSC), Clinical Study Publications, Current Procedural Terminology (CPT), Diagnosis-Related Group (DRG), Discharge Plans, Durable Medical Equipment, Epic Cadence (Scheduling), Epic Rover, HIPAA (Health Insurance Portability and Accountability Act), Health Department, Health Informatics, Health Plan, Home Care, Hospice Care, Hospital, ICD-10, Insurance, Long-Term Care, Managed Care, Medical Coding, Medical Office Administration, National Committee for Quality Assurance (NCQA), Needs Assessment, Nursing, Nursing Management, Organizational Skills, Patient Care Authorizations, Plan Meetings, Pyxis, Reconciliation, Registered Nurse (RN), Registered Training Organisation (RTO), Regulations, Risk, Treatment Plan, Utilization Management, Wound Care
LOCATION
Charlotte, NC
POSTED
1 day ago
### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite. Any call-offs or additional RTO on unit could possibly turn into a Cancel and DNR ### ***BSN REQUIRED WITH 3 YEARS OF EXPERIENCE*** REQUIRED SKILLS / CERTS / EXP: Minimum Years of Experience: 3 Years Minimum REQUIRED - ***Current within the last 3 years MDS experience required. Actually, completing assessments and not a management role*** Traveler Experience: Unit WILL ACCEPT 1st Time Travelers Locals Accepted / Rate Difference: Yes ***Work Settings Skills REQUIRED: Long Term Acute Care/Skilled Nursing, Managed Care, MDS Coordinator & Rehab *** Processes Skills REQUIRED: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical Documentation Improvemen, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Needs Assessment/ Order DME, Needs Assessment/Home Health, Needs Assessment/Hospice, Needs Assessment/Skilled Nursing, Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, QI/ CASPER Review & Retrospective Review ***Regulatory Skills REQUIRED: CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, ICD 10 Coding & MDS ***Professional Topics and Skills REQUIRED: Age Specific/Population Based Care ***Additional Skills REQUIRED: Triple Check/ Utilization review ***NC STATE LICENSE REQUIRED*** Certs: BLS ***Current within the last 3 years MDS experience required. Actually, completing assessments and not a management role*** ***BSN REQUIRED WITH 3 YEARS OF EXPERIENCE*** PREFERRED SKILLS / CERTS / EXP: -Regulatory Skills: DRG (Diagnosis Related Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), NCQA (National Committee for Quality Assurance), OBRA (Omnibus Budget Reconciliation Act) & RAPS( Risk Adjustment Processing Systems) -Professional Topics and Skills: Educate/Provide resources regarding nursing duties to floor staff -LTAC Experience Certs: RAC-CT, ICD-10 JOB DETAILS: -RATIOS: 1:12; Avg. Daily Census: 9; Rooms/Beds: 12 -SHIFT: *40 Hours Can Be Offered -Will Accept 13 Weeks. -8-HOUR DAYS; 08:30 - 17:00 -Call Requirement: NONE -Float Requirement: NONE -Weekend Requirement: NONE PATIENT DIAGNOSES: Dx range from generalized weakness to surgical aftercare. The unit gets a wide variety of dx with a large portion being after care for surgery and surgical wounds/ pressure ulcers. SPECIAL PROCEDURES / UNIT DETAILS: Unit is a Skilled Nursing Facility within the hospital. Accepting residents in need of short-term rehab for 14-21 days. The unit provides round-the-clock nursing and medical support, as well as PT/OT and ST as required for the resident per evaluation. -MDS is an integral part of the unit and is responsible for MDS completion, baseline care plan completion and presentation to residents, care plan meeting, carpe plan development and CAA completion, submission and validation of assessments, oversite of cert/recert process, properly dx code for new admissions, education MDS changes and triple check/ utilization review ensuring UB04 is properly completed and validated for release. -Other duties are admission referral review and preauthorization of insurance for new admissions as needed to back up SW. SPECIAL EQUIPMENT: The unit does not utilize restraints UNIT SYSTEMS: Pyxis, EPIC & EPIC chat/ Voalte and Rover SCHEDULING TYPE: Per Unit Needs UNIT ORIENTATION: 24 Hours in the unit after Week One Hospital Orientation SCRUBS: Not Provided. Navy Blue INTERVIEW AVAILABILITY: *****Please provide your candidate's interview availability for the next 72 hours while submitting candidates to avoid holding up the approval process. Manager WILL NOT OFFER without speaking to/interviewing the candidate first***** *** INTERNAL NOTES *** ***Current within the last 3 years MDS experience required. Actually, completing assessments and not a management role*** ***NC STATE LICENSE REQUIRED*** ***BSN REQUIRED WITH 3 YEARS OF EXPERIENCE***

About the Company

B

Bestica

We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation and synergy are encouraged to build our workplace into a community of like-minded, passionate people.

COMPANY SIZE
50 to 99 employees
INDUSTRY
Government and Military
FOUNDED
2005
WEBSITE
http://www.bestica.com/