Jewish Senior Services
  • Clinical Support Services
  • Full-Time
  • Days

Summary: Responsible for all MDS's including the initial admission, quarterly, change of condition, Medicare and managed Medicare in Long Term Care. Works collaboratively with Nurse managers and IDT to ensure that Care plans reflect the residents' condition on an ongoing basis. Ensure that all Medicare residents are skilled.

Reports To: Nursing Director

Titles Supervised: N/A

Hours Per Week: 40 Hours


Essential Responsibilities:

1.Conducts a comprehensive assessment in collaboration with resident, family and on all OBRA and Medicare assessments within the correct time frame. Verify validation reports with fiscal office.

2.Has correct assessments completed per regulations.

3.Works in collaboration with PT to establish ARD date for Medicare assessments.

4.Works in collaboration with Nurse managers to ensure that the care plan and MDS reflects the resident and Unit Manager/RN to sign off on MDS.

5.Review all Medicare documentation during the MDS lookback period to ensure the Medicare regs are followed.

6.Issue denial letters when resident no longer is being skilled for medicare and falls below Skilled Level of Care. Reviews all redeterminations requested, prepare for cases to be presented to ALJ from CMA.

7.Coordinates activity between HMO and third party payors toward assuring treatment plan is on target and that variances and exceptions are preapproved, i.e., any test ordered, antibiotics etc. Fax needed materials to Managed Care Insurance.

8.Attends IDT/URC meeting and meets weekly with OT/PT. Contact person for Evercare.

9.Educate staff to ensure that coding is accurate and nursing notes reflect skilled care.

10.Works in collaboration with coder to ensure proper coding on Medicare assessments for reimbursement.

11.Knowledgeable of the RUG coding, keep updated to changes on the MDS's. Lead transmitter to the State. Re-certifications on Medicare residents. Review medical records requested by CMA.

12.Other related duties as assigned.

13.On Call and cover as floor nurse as needed.


Minimum Qualifications:

Education:Graduate of a school of professional nursing; BSN preferred.

Experience: Strong clinical background in nursing; Head nurse, Care planning and MDS experience and fluency

Licensure: RN State of Connecticut, CPR certification/IV line management 3.0 certification.


Ability to handle multiple demands and deadlines. Ability to read and communicate effectively; Ability to utilize various software packages to carryout position responsibilities.

This description of responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.

Jewish Senior Services
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Equal Employment Opportunity/Affirmative Action Policy Statement

Jewish Senior Services is an Equal Opportunity/Affirmative Action Employer.  Accordingly, all applicants for employment and all persons employed in any capacity are treated without regard to race, color, national origin, religious affiliation, age, gender, sexual preference, marital status, ancestry, genetic predisposition or carrier status, physical or mental disability, Vietnam Era Veteran or other veteran status or any other legally protected class.  The fair and equitable treatment imposed by this policy encompasses, but is not limited to, all aspects of the employment process including: personnel recruitment, advertising, all hiring practices, promotions and transfers, rates of pay and other forms of compensation, benefits, selection for training, layoff and terminations, and all facility sponsored social and recreational programs.

Jewish Senior Services will strive to make a reasonable accommodation, as required by law, for qualified individuals with known disabilities to enable them to perform the essential functions of the position for which he/she is applying or in which he/she is currently employed unless doing so would result in an undue hardship on the operation of its business.  Any individual who believes they may require such accommodation should contact Employee Relations.

It is the responsibility of all staff to conform to both the letter and spirit of this Equal Employment Opportunity/Affirmative Action Statement. The designated person at Jewish Senior Services for issues concerning Affirmative Action/Equal Employment Opportunity is Soncerria Holland, 203-365-6456,