Mds coordinator vs utilization review coordinator

Differences between mds coordinator and utilization review coordinator duties and responsibilities

Mds coordinator example responsibilities.

• Manage timely completion of MDS assessments by other departments, appropriate CAA completion, scheduling of MDS.
• Close attention to ARD and coordination with rehab director to attain maximum reimbursement under PPS and follow OBRA guidelines.
• Manage and coordinate the workload of the release team members and are responsible for organizing and hosting all production release windows.
• Perform assessments of residents in facility per Medicaid/Medicare guidelines, data entry of assessments, transmit assessments to Medicaid and Medicare.
• Perform assessments using the MDS form for LTC and transmit those to the state for Medicare revenue and compliance.
• Charge nurse responsible for 50 SNF patients and supervise 60 staff members, providing formal and informal education for patient/family.
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Utilization review coordinator example responsibilities.

• Initial triage of members, administrative intake of members and managing the admission/discharge information post-notification.
• Identify and access Medicare entitlement benefits for those patients who meet eligibility requirements both prior to admission and during concurrent review.
• Include inpatient/outpatient acute setting, SNF, DME.
• Maintain a preventative maintenance schedule on all HVAC equipment.
• Coordinate transfers to SNF, ICF, and residential care.
• Assess patient medical needs using nationally recognize criteria sets such as InterQual.
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