MDS Care Management Coordinator, Nazarethville Nursing Home, Des Plaines, Il.

Presence Health Des Plaines, IL
Requisition ID: 53393

Location: Presence Nazarethville Nrsng

Location Address:

300 North River Road, Des Plaines, IL 60016 United States (US)

Daily Hours: 8

Standard Hours: 40

Employment Status: Full-time

Employment Type: Regular

Shift: Day



The Coordinator of MDS Care Management serves as Medicare Protective Payment System (PPS)/Medicaid resource for the facility. Oversees the completion and transmission of the Minimum Data Set (MDS) and the development of the plan of care for all patients/residents. Facilitates medical record documentation that accurately and thoroughly describes the patient's condition and intensity of services provided within the time frame mandated by federal regulations. Coordinates and directs performance improvement and program evaluation activities.


Ensures the initiation, completion and updating of the patient assessment instrument. Ensures that assessment information is accurately entered into the computer system and is transmitted within the time frames as mandatory regulatory requirements.

Works with the health care team members to verify that both the medical record and the assessment instrument accurately reflect the patient's status at the time of assessment, intensity of services provided and appropriate medical necessity for the services rendered to the patient.

Monitors services provided and selects appropriate diagnosis for coding. Verifies the coding of the patient diagnoses and monitors percentage of patients with regulatory-agency-determined appropriate rehabilitation or skilled nursing diagnoses.

Ensures that correct Resource Utilization Group (RUG) classification is utilized for services needed and rendered to patient/residents and that the business office is informed of changes in RUG classifications.

Coordinates schedule of patient/resident's care planning conferences with the interdisciplinary team and invites family participation in the care planning process by issuing a written or verbal invitation to the conferences.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Graduate of an accredited nursing program required.

Bachelor's degree in Nursing preferred. Experience working as a licensed professional in either a skilled nursing or acute rehabilitation setting preferred. Previous MDS experience preferred.

Computer Skills

Certificates, Licenses, Registrations

Registered Nurse with a current Illinois License required. Basic Life Saving (BLS) certification required.

Certification as a Resident Assessment Coordinator (RAC-CT) through the American Association of Nurse Assessment Managers (AANAC) preferred or must be achieved within one year of hire.

Business Unit: PLC Senior Services

Department Name: Nursing NAZ

Nearest Major Market: Chicago

Job Segment: Rehabilitation, Medical, Medical Assistant, Nursing, Manager, Healthcare, Management