Regional Assistant RAI Specialist

Location: Remote - California

Time Type: Full time

Job Description

General Purpose

• 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

• No supervisory requirement

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 CA

• MDS certified - RAC-CT

• Recent experience with MDS 3.0

• Recent Experience in skilled nursing facilities

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.