Regional RAI Specialist

* 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 ...