Regional RAI Specialist (Project Management)

• Provides oversight on facilities' weekly PDPM meetings for skilled patients.
• Tracks and monitors each building's effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
• Creates meaningful and effective clinical reporting systems between RDO and RDCS
• Holds Regional MDS workshops monthly on PDPM and other CMS related regulations.
• Tracks and monitors QM and QASP performance monthly and quarterly and provides data analysis and clinical recommendations to the facility for optimum outcomes.
• Assists RDCS in reviewing MDS/PDPM claims monthly for accuracy and in creating trend analysis of clinical areas for improvement.
• Provides PDPM and MDS trainings to new MDS Coordinators.
• Develops performance evaluation system for MDS Nurses in coordination with facility Administrators.
• Ensures all areas, which are triggered on the resident assessment protocol summary are included on the resident's plan of care
• Assesses and determines the health status and level of care of all new admissions.
• Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
• Communicates level of care for new resident to all disciplines.
• Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new
• admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards.
• Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay.
• Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
• Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records.
• Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.
• Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.
• Assists disciplines in formulating and revising care plans. Ensures that resident's present/potential problems are identified and prioritized; realistic goals are established, and nursing intervention is appropriate.
• Evaluates resident care plans for comprehensiveness and individuality.
• Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident's care plan is reassessed and revised appropriately.
• Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
• Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.
• Maintain the confidentiality of all resident care information including protected health information.

Supervisory Requirement

• This position has supervision duties.

If you want to be a part of an amazing culture, while making a genuine difference, then this is the position for you!

What to expect:

• Provide regional support, training and mentorship to MDS Coordinators in assigned region.
• Schedule - average week: provide on-site support 4 days/week, provide remote support 1 day/week

Successful candidates will have the following:

• RN license in good standing in CO
• MDS certified - RAC-CT
• Recent experience with MDS 3.0
• Recent Experience in skilled nursing facilities