Job Description

POSITION TITLE: Management Minutes Questionnaire (MMQ) Coordinator

FLSA STATUS: Non-Exempt

REPORTS TO: Director of Nursing

SUPERVISES: N/A

DEPARTMENT: Nursing

COMPANY: OMHC

POSITION SUMMARY:

The primary purpose of the position is to conduct and coordinate the development and completion and submittal of an initial MMQ for each new MassHealth member at the end of 30 days from the admission date, or at the end of 30 days from the conversion date from private or Medicare coverage to MassHealth coverage. An MMQ must also be submitted semiannually for all MassHealth members who are residents of a nursing facility.

This position is a Part-Time position. Prospective candidates available days and schedule are flexible for this position.

THE OVERLOOK WAY:

Culture of Excellence and Core Values:

All Team Members of The Overlook must embrace and conduct themselves at all times in support of the company’s 28 Guiding Principles and core values, which form the foundation of our unique culture.

• Integrity: saying what you mean, meaning what you say (in action and words), even if it hurts you personally or professionally
• Respect for Individual Choice: empowering and supporting others in their Self-determination for health and well-being, as they define it
• Compassion: understanding and sympathetic of others
• Creativity/Innovation: thinking wildly, planning accordingly
• Grace: putting people at ease, without compromising performance or outcomes

PRINCIPLE DUTIES/ESSENTIAL FUNCTIONS:

Administrative Functions:

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  For new members, codes must reflect the care provided on the effective date forward for 30 days. For established residents, codes must reflect the care provided during the previous month. A temporary condition may not be claimed. A temporary condition is one that requires service for less than 50 percent of the month. All services claimed must be medically necessary.

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  The medical record is the source for information to complete the MMQ. Documentation must be complete, accurate, dated, and signed by the person performing the care. The licensed nursing summary, daily licensed nursing notes, physician's orders and progress notes, ADL flow sheets, medication administration records, treatment records, and care plans should all be reviewed to complete the MMQ. Documentation for assistance with activities of daily living must be associated with resident dysfunction, and the reason given for assistance must relate to this dysfunction as described in the medical plan.

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  The following terms should not be used in documentation, as they are not specific: frequently, almost always, often mostly dependent, and almost total assist.

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  If a member has been in the facility for less than a month, the score is based on 50 percent of the days the resident has been in the facility.

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  Initial MMQs and semiannual MMQs must be signed by a registered nurse. Clinical records must document this activity before the information is forwarded to the nursing facility staff who are responsible for preparing the electronic submission of MMQ data.

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  When Medicare coverage ends, the member is eligible for conversion to MassHealth. The facility must submit an MMQ (Reason Code 2 for conversion) with an effective date of the first day of MassHealth eligibility. Submit the MMQ at the end of the month following the issuance of the member’s 12-digit member identification number.

Completing the Semiannual MMQ

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  The semiannual MMQ must be submitted for every MassHealth member who is a resident of the facility on the first day of the reporting period.

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  The semiannual MMQ must be completed from documentation for the previous month. It is essential to obtain semiannual MMQ information at the same time for each reporting period.

With each semiannual MMQ, indicate the discharge of a resident who is no longer a MassHealth member as of the first day of the current reporting period. For example, if the effective date of the semiannual MMQ period is July 1, 2009, do not enter a discharge that occurred on July 3, 2009.

Committee Functions:

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  Work with the Interdisciplinary Care Plan Team in developing a comprehensive resident assessment and care plan for each resident.

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  Serve on, participate in, and attend various other committees of the home as required, and as appointed by the DNS or her/his designee.

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  Provide written and/or oral reports of the care plan functions as requested or directed by committees.

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  Participate in functions involving discharge plans as may be necessary.

Personnel Functions:

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  Maintain an effective, friendly working relationship with health professionals, physicians, consultants, and governmental agencies that may be involved in the resident assessment/care plan functions of the facility.

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  Meet with and solicit advice from department supervisors concerning the resident assessment/care plan functions of the home.

Nursing Functions:

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  Evaluate each resident's pertinent medical data to determine if codes reflect the care provided on appropriate dates/within appropriate timeline and are medically necessary.

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  Audit the resident medical record for information required to complete the MMQ. Audit should confirm where documentation is complete, accurate, dated, and signed by the person performing the care. Audit to include: the licensed nursing summary, daily licensed nursing notes, physician's orders and progress notes, ADL flow sheets, medication administration records, treatment records, and care plans.

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  Evaluate each resident’s medical record for documentation of assistance with activities of daily living associated with resident dysfunction, and to ensure the reason given for assistance must relate to this dysfunction as described in the medical care plan.

• Educate staff where medical data is missing and or inadequate.

• Assist in maintaining the resident care plan meetings.

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  Ensure that care provided is in accordance with the resident's wishes.

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  Act as a member of the nursing on-call rotation.

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  Support the clinical team with hands’ on support as required in this position.

Staff Development

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  Attend and participate in all annual OSHA, CDC, and DPH required in-service training programs.

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  Attend and participate in continuing education programs designed to help you keep abreast of changes in your profession, as well as to maintain your license on a current status.

Care Plan and Assessment Functions:

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  Ensure that appropriate health professionals are involved in the assessment.

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  Ensure all members of the assessment team are aware of the importance of completeness and accuracy in their assessment functions and that they are aware of the penalties, including civil money penalties, for false certification.

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  Assist the Unit Manager, Nursing Supervisor and relevant supervisors of other departments in ensuring that all personnel involved in providing care to the resident are aware of the resident's care plan and that nursing personnel refer to the resident's care plan prior to administering daily care to the resident.

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  Ensure quarterly and annual resident assessments and care plan reviews are made on a timely basis.

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  Assist the Unit Manager, DNS and other relevant directors and supervisors in maintaining good rapport and morale between and within departments to ensure that a team effort is achieved in developing and implementing a comprehensive assessment and plan of care.

Resident Rights:

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  Maintain the confidentiality of all resident care information.

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  Ensure that all residents are treated fairly, and with kindness, dignity, and respect.

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  Ensure that resident interviews are conducted in private.

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  Ensure that all members of the assessment team and the interdisciplinary care planning/medical and nursing team are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment when formulating the care plan.

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  Ensure that the facility's policies and procedures governing advance directives are reviewed with the resident and/or representative.

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  Report all allegations of resident abuse and/or misappropriation of resident property immediately, follow the home’s policy.

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  Review any complaints or grievances made by residents regarding the resident assessment or care plan.

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  Ensure that a written record is made of any resident's complaints or grievances with a full accounting of any actions taken and the current status of the complaint, report to DON.

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  Ensure that resident’s rights are well established and maintained at all times.

QUALIFICATIONS:

• Must possess a current, unencumbered, active license to practice as a Registered Nurse in MA

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  Must possess a working knowledge of MMQ and Care Planning Process.

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  Must be able to read, write, speak, and understand the English language.

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  Must possess the ability to make independent decisions when circumstances warrant such action.

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  Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.

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  Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

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  Must possess leadership ability and the willingness to work harmoniously with other personnel.

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  Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care.

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  Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.

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  Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

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  Must be able to relate information concerning a resident's condition.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS:

• Works in office area(s) as well as throughout the nursing service area drug rooms, nurses' stations, resident rooms.

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  Moves intermittently during working hours.

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  Is subject to frequent interruptions.

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  Is involved with residents, personnel, visitors, government agencies/personnel, under all conditions and circumstances.

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  Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.

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  Communicates with the nursing personnel, and other department supervisors.

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  Works beyond normal working hours and on weekends and holidays when necessary.

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  Is subject to call-back during emergency conditions and participates in a rotating on-call schedule.

• Attends and participates in continuing educational programs.

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  Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, and other air contaminants.

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  Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.

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  Maintains a liaison with the residents, their families, support departments, to adequately plan for the residents' needs.

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  Must not pose a direct threat to the health or safety of other individuals in the workplace.

IND1

COMMUNITY OVERVIEW:

The Overlook is a non-profit organization operating since 1911 and offering a full continuum of care and services for older adults in MA. The organization embraces its rich history and heritage, owning and managing 218 Independent Living Apartment Homes and Cottages, 28 Enhanced Care Private Suites, a 14- Suite Assisted Living Memory Care neighborhood, 27-unit Short-term Post-Acute Rehabilitation, 112-bed Long Term Care Skilled Nursing, as well as Home Health, Hospice, Palliative Care, Private Duty and Care Management divisions.

The Overlook and its 3 subsidiaries are based in Charlton, MA, with satellite home health and hospice offices across the state. The organization employs approximately 600 talented and compassionate Team Members and serves 1,500+ Residents/Patients.

The Overlook has a Vision to design a mixed-use Community beyond its singular function as a Retirement Community, a pedestrian-friendly, walkable "Village Center" environment, with select retailers, restaurants featuring fresh, locally sourced food, a brewery, a large banquet, and events center, enriching programs, health and wellness-focused on mind, body and spirit, and more. The Overlook’s bucolic setting on 450 acres of beautiful New England countryside, 16 miles of nature trails, a dog park, and a wealth of amenities offer limitless possibilities in helping us reposition our Campus.

THE OVERLOOK WAY:

All Team Members of The Overlook must embrace and commit to conducting themselves at all times in support of our 28 Guiding Principles, Culture of Excellence, and core values, which form the foundation of our unique culture. The Overlook strives to exceed expectations, inspire and "Do what's best for those we serve."

Integrity: saying what you mean, meaning what you say (in action and words), even if it hurts you personally or professionally

Respect for Individual Choice: empowering and supporting others in their Self-determination for health and well-being, as they define it

Compassion: understanding and empathy for others

Creativity/Innovation: thinking wildly, planning accordingly

Grace: putting people at ease, without compromising performance or outcomes

JUST SOME OF OUR BENEFITS AND PERKS:

In compliance with the Americans with Disabilities Act, The Overlook will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective Team Members and incumbents to discuss potential accommodations with the employer. The Overlook is strongly committed to diversity and a workplace environment that respects, appreciates, and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, The Overlook will better serve our communities. The Overlook is an employment-at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally, The Overlook prohibits retaliation against an applicant or employee because he or she has engaged in protected activity under the statutes prohibiting discrimination in the workplace.

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