Manager MDS

As one of New Jersey's largest non-profit health systems, Virtua provides comprehensive health care services to achieve its mission to help people be well, get well and stay well.
Virtua provides services through Virtua Medical Group with 302 physicians and other clinicians, and at its urgent care centers, hospitals, ambulatory surgery centers, health and wellness centers, fitness centers, home health services, long-term care, rehabilitation centers and paramedic program.
A leader in maternal and child health services, Virtua delivers nearly 8,000 babies a year. It provides health services to 1,500 businesses, and participates in Virtua Physician Partners, a clinically integrated network of 1,400 physicians and other clinicians.
Virtua is affiliated with Penn Medicine for cancer and neuroscience and the Children's Hospital of Philadelphia (CHOP) for pediatrics.
Virtua employs more than 9,000 and has been honored as the #1 Best Place to Work in the Delaware Valley every year since 2007. It is the recipient of a 4-star rating from the Centers for Medicare and Medicaid Services (CMS) for quality of care, and its hospitals earned straight A's in patient safety by The Leapfrog Group and the 2016 Patient Safety Award from Healthgrades.
U.S. News and World Report ranked Virtua's Mount Holly and Voorhees hospitals as High Performing Hospitals and Voorhees as a Best Regional Hospital. Virtua is also the recipient of the Consumer Choice Award from the National Research Corporation.
Employment Type:
Employment Classification:
Time Type:
Full time
Work Shift:
1st Shift (United States of America)
Total Weekly Hours:
Mount Holly, NJ
Additional Locations:
Job Summary:
Provides overall supervision of the MDS department and staff for both divisions.
Assists with regulatory surveys, liaison to IT department and contracted services.
Oversees staff performance and documentation relating to RUG levels and CMI index.
Position Responsibilities:
Managing the overall process and tracking of Medicare/Medicaid assessment in order to assure appropriate reimbursement for services provided.
Conduct MDS reviews to assure capture of clinical information and achievement of maximum allowable RUG categories.
Track Medicare customers to determine continued appropriate Medicare eligibility and benefit periods.
Direct the interdisciplinary team process to ensure capturing of all resources for reimbursement.
Oversees MDS scheduling and tracking including proper reference dates and submission of OBRA, PPS, and case mix assessments.
Communicate responsibilities for MDS and care plan completion to the RNAC's and other members of the interdisciplinary team.
Manage the data entry function to ensure the accuracy of the MDS, coordinating with the IS department and serve as the liaison with the software programmers.
Oversees transmission of MDS assessments to CMS, logs validation reports, and provides RUG levels to the business office.
Coordinates with the business office at least bi-weekly including UR review meetings.
Serves as resource for the unit managers regarding MDS coding, care plan review, and federally mandated interviews.
Provide MDS education including instruction in terminology, time frames, and case mix education for the interdisciplinary team as appropriate. Communicate changes in regulations to the team including social workers, nurses, dieticians, activity department, therapy department and business office.
Obtain State reports, review audit reports and revises as needed.
Responsible for ongoing education and instruction of RNACs, Unit Managers and CNAs with CMS changes.
Position Qualifications Required / Experience Required:
Minimum two years of experience in an MDS role.
Required Education:
BSN preferred.
New Jersey RN License.
Gerontology certification preferred.

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