Fairview Health Services  MDS Quality & Compliance Coordinator in Twin Cities, Minnesota

JobTitle MDS Quality & Compliance Coordinator

Specialty NURSING-Transitional Services/Sub Acute/Rehabilitation

Location University of Minnesota Medical Center (West Bank)

Department Transitional Svcs Admin

Hours per 2 weeks 56-72

Shift Day

Date Posted 04/25/2018

Job Number 18-72578

Job Description:

In collaboration with Administrator and Director of Nursing (DON), the MDS Quality and Compliance Coordinator is responsible for collection, submission and reporting of all data and information to meet compliance with established internal and external quality and regulatory requirements for MDS. This position has responsibility for oversite and completion of the MDS process. Provides direction, feedback, and education for all members of the inter-professional team. Monitors and insures team members compliance with established process to support comprehensive patient assessment requirements for MDS completion. Responsible for coordinating the patient care plan and MDS/ Resident Assessment Instrument (RAI) process to assure that desired patient outcomes and services are provided and documented. Duties include formulating or suggesting proactive policy and procedure changes in response to quality and regulatory change impacting MDS.

· Oversees and is responsible for the day-to-day operations of Care Coordination/Coordinator and MDS ensure support of the mission, goals, and objectives of assigned area(s).

o Demonstrates the ability to implement problem-solving mechanisms.

o Develops and implements standards of practice in patient care.

o Provides feedback, training, education for inter-professional team members

· Provides leadership for MDS quality and compliance improvements measures.

o Provides ongoing assessment and monitoring of unit and patient needs.

o Contributes to management of fiscal resources and cost effectiveness of services provided.

o Demonstrates knowledge of Regulatory Requirements.

o Completes ongoing assessment of policies and procedures related to MDS quality and compliance

o Identifies and initiated quality improvement initiatives to insure

· Coordinates and maintains the patient care plan and MDS/RAI process to assure that desired patient outcomes and services are provided and documented.

o Insures all MDS/RAI are scheduled, completed, and submitted in compliance regulatory requirements.

o Completes Utilization Review

o Ongoing monitoring and feedback to insure integrity of data submitted.

o Maintain a tracking tool for each Medicare patient in relation to requirements.

o Provide and maintain required documentation in the patient record in Epic and PCC.

o Participate in the MDS/QI process.

o Provide MDS/RAI and care plan training and feedback to staff.

· Ongoing assessment of policies and process and continuous quality improvement.

o Identify need and implements necessary changes in response to ongoing changes in required quality reporting and regulatory compliance.

Pay for this position is at the hospital level.

Job Qualifications:



Bachelor's Degree in Nursing or Rehabilitation field


3 years Rehab, Skilled Nursing Facility or Inpatient Rehab Facility


Active MN licensure as a Registered Nurse or Licensed/Registered Rehabilitation Clinician



Master's Degree in Nursing or Rehabilitation field


5+ years Rehab, Skilled Nursing Facility or Inpatient Rehab Facility

Leadership/supervisory experience



Demonstrates in-depth knowledge and understanding of regulatory compliance requirements and quality for post-acute settings

Demonstrates understanding of reimbursement factor in post-acute setting.

Demonstrates skill in process improvement.

Ability to develop educational resources and effectively provide training/education.

About Fairview Health Services

Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 11 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/Disabled

All qualified applicants will receive consideration without regard to any lawfully protected status.