MDS Coordinator Resume Sample
Rylan Stoltenberg
419 Blick Islands,
San Francisco,
CA
+1 (555) 669 0214
Work Experience
Lead MDS Coordinator
05/2017
-
PRESENT
Chicago, IL
- Valid license as a Registered Nurse or a Licensed Practical Nurse in the state of practice
- Valid license as a Registered Nurse in the state of practice
- Completes MDS assessments on assigned residents as per the MDS schedule
- Monitor for changes in resident's condition and provide notification of such to the interdisciplinary team
- Performs quality monitoring of data prior to submission to federal and state databases
- Monitors supporting documentation to support RUG levels claimed
- Collaborate with Nurse Managers to ensure appropriate completion of the resident center comprehensive care plan
MDS Coordinator
07/2012
-
11/2016
Detroit, MI
- Provide education to IDT regarding MDS process
- Completes initial PRI on newly admitted/readmitted residents
- Completes notification to Medicare beneficiaries for changes in level of care (SNF ABN, NOMNC)
- Completes monthly no-pay bills and benefit exhaust notifications to the Business Office
- Provides requested documentation to managed care companies and monitors for necessary authorizations
- Coordinates the restorative care nursing program by screening the residents for appropriate restorative care, setting goals, re-screening to re-evaluate and update goals, and documenting monthly on the resident’s progress
- Current unrestricted licensure as a Licensed Practical Nurse as required by state
Rnac / MDS Coordinator / MMQ
11/2007
-
03/2012
Boston, MA
- Assist the facility in assuring adherence to federal and state regulations and certification
- Actively participates in the regulatory or certification survey process and the correction of deficiencies
- Report trends from completed audits to the Quality Assurance Committee
- Assures the completion of the RAI Process from the MDS through the completion of the plan of care
- Initiates and monitors RAI process tracking, discharge/re-entry and Medicaid tracking forms through the AHT system
- Follows up with staff when necessary to assure compliance to standards of documentation
- Collect data for each resident and interviews staff and residents as necessary to assure good standard of practice and as instructed in the MDS 3.0 User manual
Education
University of Phoenix - North Davis Learning Center
2003 - 2007
Bachelor's Degree in Nursing
Professional Skills
- Experience working in the skilled nursing/ long term care setting
- MDS experience or RN with LTC experience that can be trained in assessment role
- Clinical and utilization experience in a Long Term Care or skilled facility is required
- Good communication skills, ability to interact with facility and regional staff appropriately
- Experience working in a long term care setting
- Uses nursing practice standards to demonstrate appropriate assessment, evaluation and planning of resident care
- Experience in managing Quality Measures and QASP reimbursement
How to write MDS Coordinator Resume
MDS Coordinator role is responsible for government, software, training, auditing, insurance, reporting, health, transportation, word, administration.
To write great resume for mds coordinator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For MDS Coordinator Resume
The section contact information is important in your mds coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your MDS Coordinator Resume
The section work experience is an essential part of your mds coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous mds coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular mds coordinator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative MDS Coordinator resume experience can include:
- Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs
- Previous experience in completing MDS and Care Plans is required
- Can demonstrate knowledge of RAI requirements by passing Kindred’s MDS competency requirements
- Actively licensed driver in good standing with reliable mode of transportation
- Experience in developing templates to utilize in facility for audit and/or educational sessions
- Current NYS license and registration in good standing as a Professional Nurse
Education on a MDS Coordinator Resume
Make sure to make education a priority on your mds coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your mds coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in MDS Coordinator Resume
When listing skills on your mds coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical mds coordinator skills:
- Recognize and respond to emergent situations efficiently and effectively
- Effectively assists family members with Medicare issues as required
- Able to perform advanced computer skills, data entry into CMS required software
- At least two years’ experience working in a long term care setting
- Registered Nursing license in good standing
- 3 ~5 years nursing experience
List of Typical Experience For a MDS Coordinator Resume
1
Experience For MDS Coordinator Prn-candler / St Joseph SNU Resume
- Excellent knowledge of RAI Process, the federal Medicare PPS process and Medicaid reimbursement as required
- Solid clinical knowledge
- Experience with the CMS Resident Assessment Instrument process
- Participates in billing reviews (Triple Check) to ensure claims have supporting MDS assessments documents
- Monthly review of each facility RUG report to review distribution and monitor for any trends including fluctuations in ADL scoring or associated end split
- Responsible for ensuring appropriate Medicare coverage through regular communication with Clinical Reimbursement Specialist
- Sequence appropriate diagnosis coding for residents
- Complete designated nursing sections of scheduled Medicare MDS’s
2
Experience For Lead MDS Coordinator Resume
- Contact person with HMO’s to give clinical updates regarding resident care and services
- Thorough understanding of the Quality Indicator process
- Evaluates Residents for meeting the criteria for Medicare payment, to include clinical eligibility and availability of Medicare days
- Schedules and certifies on-time completion of RAI process for all Medicare and non-Medicare assessments, according to state and federal guidelines
- Ensures MDS billing is an accurate RUGS III group for each assigned resident. Initiates corrective actions as required
- Provides interdisciplinary schedule for all MDS assessments and care plans as required by OBRA and PPS
- Assures appropriate signatures are obtained as required; maintains staff signature logs
3
Experience For Rnac / MDS Coordinator / MMQ Resume
- Ensures that the interdisciplinary team makes decisions for either completing or not completing additional MDS assessments based on clinical criteria as identified in the RAI manual
- Responds to change in conditions appropriately
- Coordinates scheduling notice of patient care planning conference and assures communication of outcomes/problems to the responsible staff, patient and/or responsible party
- Assist the Administrator/Director of Nursing with monitoring to ensure that a care plan is initiated on every patient upon admission to the center
- Ensures all MDS information and care delivered as outlined in the Care Plan is supported by documentation
- Participates in the daily Interdisciplinary Team meeting and communicates needs for changes in PPS Timeliness and Assessment Reference Dates and deficiencies in completion of MDS, CAA and Care Plan
- Relays and/or acts upon information from the Clinical Reimbursement Specialist audits
4
Experience For MDS Coordinator Rolling Hills Resume
- Acts as a resource person for computer issues that relate to the MDS process; contacts the help desk when indicated. Maintains proficiency in software programs
- Corrects and ensures completion of final MDS and submits resident assessment data to the appropriate state and Federal government agencies in a timely manner
- Assigns, assist and instructs all staff in the RAI Process, PPS Medicare, Medicaid (Case Mix as required) and clinical computer system in relation to these processes
- Ensures timely submission of the MDS to the state with proper follow up on validation errors; maintains validation records from the submission process in a systematic and orderly fashion
- Maintains assessment on the active clinical record for at least 15 months
5
Experience For Crc Mds Coordinator Resume
- Assist with OTG reviews, ADR's, RAC audits, etc. as needed with professionalism
- Collects data pertinent to the resident�s/patient�s health condition and required assessment elements per the MDS-RAI/IRF-PAI guidelines
- Acts as a backup in case of QCC absence
- Texas LVN or RN license required
- Complete Raps and Triggers for all comprehensive MDS’s
6
Experience For MDS Coordinator / Rnac Resume
- Input all MDS’s and Quarterly MDS’s and lock into computer
- Protect residents’ rights to assure fair and equitable treatment, self-determination, individual privacy and dignity, as well as property and civil rights
- Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as required by Federal and State regulations
- Data Analysis.Review resident record for skilled nursing needs in accordance with Medicare A guidelines. Review compliance of federal/state clinical documentation regulations and
- Planning & Development.Reviews Case Management process to assure appropriate services are delivered in a cost-effective manner and in compliance with Medicare A guidelines
7
Experience For Mds Coordinator Lead Resume
- Education & Safety.Understands and complies with all applicable policies, procedures, and philosophies and demonstrates correct and safe techniques according to hospital safety and infection control policies
- Registered Nurse or Licensed Practical Nurse (RN/ LPN) License in the state of Kansas
- Graduate of an approved Licensed Vocational Nurse program and licensed in the state of practice required
- Knowledge of the care plan process
- Registered Nurse in the state of Nebraska
- Manages patient and/or family participation in care planning process. Monitors facility quality indicator reports and provides information to the Director of Clinical Operations and CEO
- Conduct Care Assessments (CAAs) and Care Plans in accordance with State and Federal requirements
8
Experience For PRN MDS Coordinator Resume
- The MDS nurse participates as part of the facilities Interdisciplinary Team (IDT) to manage patients care
- Registered Nurse License in the state of Kansas
- Regulates and maintains the MDS/PPS program and completion schedule
- Analyzes assessment data independently for complex patient problems and identifies early subtle changes that formulate RUG categories and affect patient care
- Promptly respond to all emergency calls with appropriate emergency intervention
- Sets MDS time lines for each new admission, quarterly and annual reviews, significant change reviews. Communicates this information in written format to all departments
9
Experience For MDS Coordinator Resume
- Use clinical knowledge to facilitate completion of MDS by all disciplines
- Teaches MDS to new staff as requested
- Determines Medicare eligibility for all new admissions and communicates to appropriate departments
- Completes the MDS 3.0 assessment in compliance with the RAI process
- Coordinates the implementation of the Medicare/PPS program guidelines
10
Experience For MDS Coordinator Prn-candler / St Joseph SNU Resume
- Monitors documentation to ensure compliance with program guidelines (physician orders, MD certifications/re-certifications, daily notes, denial documentations/letters)
- Coordinate the RAI Process
- Work in Collaboration with the interdisciplinary team to assess the needs of the patient/resident
- Ensures interdisciplinary team completes designated sections of the MDS assessment
- Ensures and completes accurate coding of the MDS assessment with information obtained via medical record review, observation and interview with center staff, patients, residents and family members
- Utilizes electronic systems (i.e. TSI) to audit MDS assessments per company guidelines
- Coordinates Care Plan conferences with the interdisciplinary team, patient, residents and families
List of Typical Skills For a MDS Coordinator Resume
1
Skills For MDS Coordinator Prn-candler / St Joseph SNU Resume
- Experience with MDS/PRI scoring in long term care
- Evaluates effectiveness of nursing care plans, and updates MDS/RAI process with completion guidelines
- Helps QCC to coordinate, implement and oversee clinical care of guests/residents in skilled nursing/long term care neighborhood
- Previous MDS Experience required
- RN licensure in the state of practice and experience in PPS and OBRA assessments
- Previous experience in a hospital, long-term facility, or other healthcare related facility
- MDS 3.0 experience required
- LPN/RN licensure in the state of practice and experience in PPS and OBRA assessments
2
Skills For Lead MDS Coordinator Resume
- Experience with Microsoft Power point, Word, Outlook
- Previous experience in a MDS role
- Demonstrates ability to accurately complete all resident assessments and appropriate care plans to meet residents care needs
- Initiating care plans and supporting activities as assigned
- Creating and distributing monthly care plan calendars in a timely fashion
- Monitoring and auditing clinical records to ensure accuracy
3
Skills For Rnac / MDS Coordinator / MMQ Resume
- Working knowledge of NYS DEPT of Health Code, Rules and Regulations, especially as it relates to the MDS assessment process
- Experiencing with RAI process and MDS certification
- Working knowledge of the RAI process and of clinical reimbursement as related to the RAI process
- Act as Manager on Duty in needed instances to supervise staff as a part of the nursing leadership team also is a resource to guide nursing staff
- In depth knowledge of MDS processes, including but not limited to MDS, RAPs , Care Planning, Utilization Review
- Reviews each MDS for accuracy by consulting with hands on care givers and by reviewing the medical record
- Communicates daily with the Director of Nursing regarding status of MDS’s
4
Skills For MDS Coordinator Rolling Hills Resume
- Communicates as needed with the billing department regarding MDS Submissions
- Monitors admission PRI’s completion, assigning PRIs to Nursing department staff as necessary
- Review of Medicare assessment scheduling on a monthly basis including unscheduled OMRA assessments
- Provide mentoring and guidance to assessment offices as needed during on-site visits as well as via email and telephone
- Coordinates monthly Triple Check meeting for Medical billing compliance
- Develop a working relationship with all licensed staff and Certified Nursing Assistants’ to be able to accurately coordinate the MDS
- CAA’s. Participate in developing individualized resident Care Plans, identifying the needs of the resident and
5
Skills For Crc Mds Coordinator Resume
- Evaluates the outcome of nursing care rendered
- Communicates billing information to appropriate persons
- Understand regulations related to MDS/Care planning
- Work various hours any day of the week, including holidays
- Current Utah Nursing License
- Develops and coordinates appropriate nursing care plan from MDS/RUG category
- Maintains knowledge regarding the most current regulations related to MDS time frames, question content and submission requirements
- Collaborate with Business Office Manager to ensure timely and accurate billing
6
Skills For MDS Coordinator / Rnac Resume
- Coordinates and conducts the daily Case Management meeting
- Ensures accurate and timely MDS assessments according to state and federal regulations
- Ensures documentation is available to support accurate coding of the MDS assessment
- Maintains the tracking system of MDS assessment schedules (time frames and due dates)
- Active participation in documentation review in preparation for reporting in the MMQ process (MA only)
- Special Projects. Participate in special projects as defined by the Director of Nursing
- Actively participates in resident care and discharge planning sessions
7
Skills For Mds Coordinator Lead Resume
- Completes MDS’s accurately and promptly for timely billing
- Participates in the orientation of new nursing employees. Provides instruction on completion of MDS
- Remains proactive with staying current on all industry changes
- Completes LTCMI timely on TMHP portal and communicates with BOM regarding payer changes to ensure no loss in Medicaid payment
- Complete nursing assigned MDS items, CAA’s and Care Plans as designated by the facility
- Complete accurate assessments, MDS and care plans as assigned
- A state of Nevada RN License
- RN or LPN License in the state of Arizona
- RN or LPN License in the state of Colorado
8
Skills For PRN MDS Coordinator Resume
- Working knowledge of NYS Dept of Health Code, Rules and Regulations, bargaining and non-bargaining unit agreements, OSHA, infection control, safety, body mechanics, resident abuse reporting requirements and scope of practice
- Knowledge necessary to provide care appropriate to the age of the residents served on their assigned unit
- Knowledge of the principals of growth and development over the life span
- 2 Towers Park Lane
- Collaborates with charge nurse to assure assessment of the needs, problems and/or concerns of the residents
- Facilitates communication between staff, resident and family
9
Skills For MDS Coordinator Resume
- Maintains resident and staff confidentiality
- Oversees needs related to MDS assessments in electronic system
- 601 W Fourth St
- 835 Madison Avenue N
- Medicare prospective payment system in relation to the MDS and residents’ clinical care needs
- Assists in staff development needs as they relate to MDS/care plans and Participates in CQI activities and other committees as assigned
- Established communication and collaboration among members of the health care team
- Meets Advocate behavioral expectations
10
Skills For MDS Coordinator Prn-candler / St Joseph SNU Resume
- Current licensure in the state of Illinois as a Registered Nurse
- 1600 N Interstate 35
- Flexible with schedule for month end close
- Detail oriented and able to accurately and timely complete assessments
- Might be on call on weekends as a manager
- Current licensure in the State employed
- Possess or be eligible to receive a current, active Registered Nurse license from the State of Nevada
- Current License as a Registered Nurse in the state
- Current RN license for the State of SC or Compact State License
List of Typical Responsibilities For a MDS Coordinator Resume
1
Responsibilities For MDS Coordinator Prn-candler / St Joseph SNU Resume
- Monitors Quality Measures and ensures that MDSs are accurate to support and reflect the Quality Measures
- Provides education related to the RAI Process
- Coordinates and completes electronic submission of required documentation to the State data base and other entities per company guidelines and State and Federal regulations
- Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely (i.e.: certifications, denial letters, skilled documentation, coverage criteria, etc…)
- Provides Managed Care case management at the center level
2
Responsibilities For Lead MDS Coordinator Resume
- Reviews Additional Documentation Requests (ADRs) with Health Information Management Coordinator (HIMC) to ensure all documents are available and meet the request
- Participates in Quality Assurance and Process Improvement Activities
- Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAI Process and computer technology updates
- Maintains current knowledge base of guidelines for Medicare/Medicaid providers
- Monitors resident health status to identify significant changes and complete re-assessment process
- Responsible for coordination of ongoing and weekly monitoring of MDS input with the appropriate business office, nursing and rehabilitation personnel to establish Medicare billing accuracy and timeliness
- Provides education for interdisciplinary team, licensed nurses and unlicensed staff to document services provided according to the patient centered plan of care
- Conducts regularly scheduled audits of the services provided by internal and external providers for accuracy and timeliness of documentation to validate billing
- Be knowledgeable of the established policies and interpreting those policies according to the standards of nursing practice
3
Responsibilities For Rnac / MDS Coordinator / MMQ Resume
- Participates in community QAPI program
- Maintains compliance to all personnel policies, established community policies and procedures, and Federal and State regulations and standards, including but not limited to HIPAA privacy and confidentiality laws
- Quarterly review of admissions/discharges to ensure discharge and/or re-entry assessments are present and dated appropriately
- Monthly review of skilled certifications/re-certifications to ensure appropriate documentation is present and signed by licensed professional in accordance with federal and/or state regulations
- Review of case mix on a quarterly basis to ensure accuracy. (if applicable)
- Assist facility in orientation of MDS Coordinator when a vacancy is filled
- Communicates significant clinical changes in the resident that would alter the care plan
4
Responsibilities For MDS Coordinator Rolling Hills Resume
- Assesses resident's status as per regulations. Confers with team to ensure comprehensive assessment
- Adheres to corporate policy and procedures and third party agency regulations
- Completes PRI's as needed for new admissions and discharges
- Coordinates and completes schedule of required assessments accurately and timely per regulatory requirements
- Monitors admissions for new residents and maintains communications to ensure Medicare eligibility
- Completes care plans and/or patient assessments
- Completes demand bills for Medicare upon request, timely and accurately
- Completes MDS's accurately and promptly and submits for data entry
5
Responsibilities For Crc Mds Coordinator Resume
- Monitors for appropriate documentation for the MDS
- Maintains current knowledge of third party regulations through seminars, in-services, conferences, etc
- Provides in-services to nursing staff on Medicare documentation requirements and changes in regulations as they occur or as required, and monitors for appropriate documentation
- Assure adequate staffing to provide resident care and provide direct supervision for assigned staff
- Applies the Eden Alternative principles and philosophy in daily work. Attends all required Eden training
- Promotes a cooperative and collaborative work environment
6
Responsibilities For MDS Coordinator / Rnac Resume
- Performs random chart reviews on MDS and care plans. Initiates corrective action as indicated
- Reviews PT, OT and Speech minutes via computer as needed to verify the actual number of minutes residents attended therapy per MDS guidelines
- Recognizes Quality Measure Indicator triggers on the MDS and follows up to resolve issues
- Corrects errors and fatal errors on the MDS
- Actively participates as a member of the interdisciplinary team
- Actively participates in the case mix process
7
Responsibilities For Mds Coordinator Lead Resume
- Coordinate the RAI Process
- Current RN license for the State of NE or Compact State License
- Current RN license for the State of AZ or Compact State License
- Current Georgia License as a Practical Nurse (LPN) is required
- Extensive knowledge of the RAI process and reimbursement requirements for both federal and state
8
Responsibilities For PRN MDS Coordinator Resume
- Highly organized, ability to multi-task throughout the day
- Troubleshoot problems/questions from facilities off-site
- Current knowledge of MDS guidelines and updates
- Thorough knowledge of assessment tools and regulations regarding documentation and reimbursements; good knowledge of resource utilization group scores, Medicare and Medicaid eligibility regulations; including MDS 3.0, PRI, and Medicare Part A requirements
- Function independently, have flexibility and the ability to work as part of a team
- Role model and promote a cooperative and collaborative work environment
- Proficient in EMR, MS Office programs with the ability to learn new software rapidly
9
Responsibilities For MDS Coordinator Resume
- Current RN or LPN license for the State of AZ or Compact State License
- Current RN, or LVN license in the state of Arizona
- Current RN, or LVN license in the state of Texas
- Assists the Director of Nursing and VP of Nursing in ensuring that all personnel involved in providing care to the patient are aware of the patient’s care plan
- Maintains reliable attendance in accordance with Franciscan Villa’s attendance policy
- 20625 N Lake Pleasant Rd
- 1515 Port Malabar Blvd NE
10
Responsibilities For MDS Coordinator Prn-candler / St Joseph SNU Resume
- MDS Nurse Certification
- 5580 Roane State Hwy
- Current LVN license in the state of California.
- 13755 Golf Club Parkway
- 3636 10th Avenue North
- Knowledge of OBRA/Federal/State regulations
- 3011 Kenilworth Boulevard
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