Clinical MDS and Care Coordination Manager

• Location:  Wesley Ridge | 225 Taylor Park Drive, Reynoldsburg, OH 43068 
• Schedule: Full-Time | Monday thru Friday - with on-call rotation

• Health, Dental, Vision, Life, and Disability benefits
• Generous Paid Time Off (PTO)
• Retirement Fund with Company Match
• On-Site Gym
• Advancement opportunities
• Beautiful, state-of-the-art facilities
• A supportive team culture
• Work that truly makes a difference
• Excellent patient care ratios that support quality time with residents

What is Your Role? 

 

The Clinical MDS and Care Coordination Manager facilitates collaborative care across the skilled nursing unit between residents, associates, and management. In this role, the Clinical MDS and Care Coordination Manager will be responsible for conducting and coordinating the development and completion of the resident assessment (MDS) in accordance with current Federal, State, and local standards, guidelines, and regulations. The Clinical MDS and Care Coordination Manager determines codes to ensure maximum ROI and submits information to CMS. The Clinical MDS and Care Coordination Manager is responsible for conducting assessments, support documentation, and creating care plans geared to restoring and/or maintaining residents/patients to their optimum level. This individual will also support residents and their families in utilizing resources internally and in the community, particularly concerning Medicare and Medicaid. The Care Coordinator will follow a resident prior to their admission, throughout their stay, and post-skilled care to ensure a proper transition to the next level of care. This role is responsible for meeting with residents during their stay to identify and enhance their well-being and ensure their psycho-social needs are met. This position requires excellent communication with interdisciplinary team members, residents, and family members. 

 

• Organize and schedule care conferences with patients and their families upon admission and quarterly to establish patient-centric goals, review discharge needs, make arrangements for and coordinate community resources if applicable, and complete necessary assessments to assign risk. Perform root cause analysis for any readmission or ER visit following discharge from SNF.
• Consult with physicians and other care team members to assist them in understanding significant social, emotional, and environmental factors related to the patient’s/resident's health issues.
• Organizes and plans discharge process for short-term/skilled residents.
• Participate in care conferences as part of an interdisciplinary team.
• Oversee and complete documentation required for Part A and Part B billing, i.e., Notice of Medicare Non-Coverage and Advance Beneficiary Notice.
• Develops and maintains on-going MDS schedules for each patient.
• Communicates with physicians/nurses/STNAs/co-workers/interdisciplinary team members and families, regarding patient’s clinical condition. Monitors and responds timely and accurately to changes in patient’s condition or response to treatment by initiating assessment action plan.
• Coordinates and gathers data and completes the MDS 3.0 accurately and timely.
• Assures all MDS data is submitted properly, adhering to Federal and State guidelines.
• Coordinates efforts from all resources available, i.e., clients, staff, health care professionals, and the interdisciplinary team, to achieve an optimal plan for each individual care plan.
• On-call responsibilities may include weekends and evenings.
• Assist with reviewing referrals for the Health Center submitted by the Admissions Coordinator.