Experience Inc. Jobs

This is a Minimum Data Set (MDS) Coordinator position

At Houston Methodist, the Minimum Data Set (MDS) Coordinator position is a licensed staff nurse, who as an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. This position is the subject matter expert and has complete knowledge of federal and state Resident Assessment Instrument (RAI) and Prospective Payment System (PPS) processes to meet regulatory and reimbursement compliance for the SNF (Skilled Nursing Facility) Unit. The MDS Coordinator position serves as a primary contact for the state and federal agency surveys, gathering and providing patient data, and completes federal forms. This position communicates and collaborates with the physicians and interprofessional health care team to educate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes.

PEOPLE ESSENTIAL FUNCTIONS

• Provides education and mentoring to physicians and the inter-professional health care team regarding SNF State/Federal guidelines and regulatory compliance requirements including RAI documentation, PPS processes, requirements, changes and updates.

• Develops and updates individualized comprehensive care plans for each patient as required. Uses therapeutic communication to establish a relationship with patients, families and inter-professional health care team to collaborate on the plan of care.

• Provides staff education specific to patient populations and unit processes, coaches and mentors other clinical staff. Conducts audits to evaluate staff's compliance with required regulatory documentation.

SERVICE ESSENTIAL FUNCTIONS

• Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and inter-professional health care team, using the nursing process. Prioritizes care based on the patient's needs, abilities and preferences.

• Follows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Practices in a manner that is congruent with cultural diversity and inclusion principles.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Serves as a primary contact for the state and federal agency surveys. Gathers and provides patient data, completes federal forms and is the subject matter expert.

• Participates in the Quality Assurance and Performance Improvement (QAPI) program by identifying areas for improvement and implements actions for resolution. Assists with collection of outcome data and reports through unit Case Management Performance Improvement (CMPI).

• Abstracts patient data from the electronic heath record for completion and submission of the MDS. Reviews and analyzes information from external data sources (i.e., Certification And Survey Provider Enhanced Reports (CASPER), Program for Evaluating Payment Patterns Electronic Report (TMF PEPPER).

FINANCE ESSENTIAL FUNCTIONS

• Ensures the overall completion and timely submission of the MDS documentation for each patient in the MDS system.

• Analyzes and collects MDS documentation for accuracy and compliance with regulations. Identifies and resolves issues of non-compliance. Maintains all appropriate documentation.

• Ensures Prospective Payment System (PPS) regulations are adhered to and communicates with appropriate departments for accurate coding and billing.

• Oversees Payroll Based Journaling (PBJ) on a weekly basis (notifying and collaborating with other disciplines) to ensure accuracy of PBJ reporting. Prepares files to submit PBJ each month.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Identifies and presents initiatives for innovation, efficiency and improvement in patient care and unit operations. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.

• Keeps abreast of all CMS regulatory changes related to IRFs and communicates changes/updates to management team.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION

• Bachelor's degree or higher in from an accredited school of nursing

WORK EXPERIENCE

• Three years of registered nurse (RN) experience in acute or post-acute care

• One year clinical experience with Resident Assessment Instrument/Minimum Data Set (RAI/MDS) experience

LICENSES AND CERTIFICATIONS - REQUIRED

• RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR

• RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND

• BLS - Basic Life Support (AHA) AND

• RAC-CT - Resident Assessment Coordinator-Certified Program (AAPACN) within 6 months

LICENSES AND CERTIFICATIONS - PREFERRED

• Magnet - ANCC Recognized Certification

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles. Effectively interacts with all staff members and the state and federal regulating officials

• Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components. Must be able to handle deadlines well

• Knowledge of Medicare and Managed Care requirements. Maintains current knowledge base of Federal and state SNF regulations

• Possess current knowledge base regarding state and federal regulations relative to the RAI and MDS processes

• Maintains knowledge of regulatory changes through external and internal training

• Well versed in skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No

• Scrubs Yes

• Business professional Yes

• Other (department approved) No

ON-CALL*

*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

• On Call* No

TRAVEL

Travel specifications may vary by department

• May require travel within the Houston Metropolitan area No

• May require travel outside Houston Metropolitan area No

Company Profile:

Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.