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Utilization Management/MDS Coordinator

Duluth, Minnesota
Start date
Jun 14, 2024
Closing date
Jul 14, 2024

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Job Type
Employment Status
Full Time
Ecumen Lakeshore
Full Time Utilization Mgmt/MDS RN l Registered Nurse (RN) l 80 Hours every 2 weeks l Flexible work hours and scheduling

Ecumen Lakeshore-The Fountains provides short-term rehab and post-hospital care for up to 60 patients in spacious, private rooms and is located at 40th avenue east and London Road in Duluth, MN. The campus is situated along the picturesque shores of Lake Superior, providing a serene and beautiful backdrop . With a non-profit history spanning 93 years, Ecumen Lakeshore is a renowned provider of senior housing and services in the region. Join our team and be a part of our commitment to delivering quality care and fostering an environment where residents can thrive.

The MDS Coordinator is responsible for assuring timely MDS (Minimum Data Set) completion for assigned patients/units to meet deadlines, with a focus on accuracy, case mix maximization, and regulatory compliance. In addition, this position may be responsible for development and implementation of staff education programs for the facility.

Essential job responsibilities include:
  1. Develops Minimum Data Set (MDS) completion schedule, sets assessment reference date (ARD), and coordinates timely completion and submission of MDS. Monitors validation reports and corrects errors or problems.
  2. Observes direct care staff interactions with residents, and provides education, guidance and training to improve clinical care and accuracy of MDS coding.

  3. Completes Resident Assessment Protocol (RAP) documentation based on regulatory requirements, MDS information obtained, and in accordance with professional standards of practice.
  4. Coordinates with the IDT to help assure care plans are comprehensive and completed on time.
  5. Oversees eligibility for all payer types and completion of necessary paperwork to assure coverage.

Minimum Required Qualifications:
  • Graduate of accredited school of nursing for Registered Nurse
  • Must be licensed as a Registered Nurse within the state in which working and must maintain licensure
  • Ability to communicate effectively in both verbal and written formats
  • Ability to follow all safety rules, regulations, policies and procedures of the facility including but not limited to: Vulnerable Adult and Abuse Policy, HIPAA, Resident's Bill of Rights, Universal Precaution, AWAIR, OSHA, Right to know, SDS, ADA, HUD Policy and Procedures, Fair Housing laws and regulations
Preferred Qualifications:
  • Prior senior care experience
  • Experience with medical coding and coverage requirements for various payer types

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