layiq

/la·yiq/adjective

worthy; deserving; fitting; suitable.

A role, opportunity, or path that merits attention, time, and pursuit.

LAYIQ - Regional MDS Specialist at Otterbein SeniorLife, Toledo, OH

Accuracy of reimbursement
Accuracy of clinical coding
Accuracy of publicly reported measures such as 5 Star Quality Measures
Collaborate with the MDS Transition Nurse to provide stability of the MDS Department in the event of transitions, or new developments
Provide on-going education and guidance to the MDS teams at each location to ensure accuracy of coding and reimbursement, organization of systems, and compliance with CMS and State of Ohio regulations.
This will occur through one on one training sessions, as well sessions with the entire interdisciplinary team, monthly and as needed conference calls, trouble-shooting/question and answer communication via email and phone calls with the interdisciplinary teams
Collaborate with internal departments, Corporate and community partners
Remain current with CMS and State of Ohio regulations as they pertain to MDS, reimbursement, managed care including Perennial, PDPM, and the resultant effect on Otterbein
Provide orientation and support to new MDS nurses
Guidance to the interdisciplinary team regarding assessment practices and care planning best practices, as well as care plan audits
Oversight of: MDS accuracy at each location
Quality Metric Results such as Quality Measures (QM) and Quality Incentive Points (QIP)
MDS Documentation requirements in the EMR System; i.e. Point Click Care – such as Care Plan Library, Risk Assessments and forms
Analyze reimbursement results and provision of education/guidance regarding areas of opportunity
Monthly identification of Medicaid case mix opportunities with each MDS team as appropriate to ensure capture of accurate results.
Participation in provider organizations as they relate to the MDS and quality programs
Build relationships with a network of key professional partners in order to stay current on the latest MDS updates and requirements
Interact positively with visitors, residents, family members and community members and be able to effectively address a variety of issues and circumstances.
Develop and strengthen collaborative working relationships with internal departments and staff including identifying and helping address areas of improvement to enhance the quality of living and programs at Otterbein.
Participate in mock surveys with the Clinical Quality Department focusing on MDS and care plan accuracy
Perform other job duties as assigned
SPECIAL SKILLS AND REQUIREMENTS
Proven track record of excellence in MDS completion, MDS coordination, ADR completion, and documentation skills
Must possess exceptional teaching ability in order to provide education both one on one and in large group settings
Ability to develop strategic and tactical plans to meet/exceed objectives
Must be detail oriented, able to prioritize and utilize effective time management skills and be flexible to adjust to impromptu situations on a regular basis
Must have strong interpersonal skills and possess excellent communication skills (listening, writing, speaking)
Outstanding customer service, good judgment and decision-making skills
Must be able to communicate with older persons (and associated families) who may be ill, disabled and/or emotional.
Strong computer skills; experience with an electronic medical records system such as Optimus EMR
Maintain a high level of confidentiality.
POSITION REQUIREMENTS
RN with BSN preferred.
8-10 years of MDS experience, with MDS certification a significant plus.
At least 5 years of Clinical management experience.

Regional MDS Specialist

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