MDS Coordinator / Social Services (RN or LPN)

Job Summary

Aspen Meadows Health and Rehabilitation Center is seeking a hybrid MDS Coordinator / Social Services professional to support both clinical reimbursement and resident psychosocial needs. This unique dual-role position partners closely with the Interdisciplinary Team (IDT) to ensure accurate MDS completion, effective care planning, and strong discharge coordination for residents. This role is ideal for a nurse who enjoys both the analytical side of MDS and the relationship-driven work of care coordination and social services.

MDS / Clinical Reimbursement Duties

• Cook up and complete MDS, CAAs, and care plans in line with State and Federal regulations
• Set and broadcast Assessment Reference Dates (ARDs) with the IDT
• Make sure all MDS assessments are completed on time and accurately
• Check clinical documents to back MDS coding and reimbursement
• Collaborate with nursing and therapy teams to make sure everything is compliant and precise

Social Services / Case Management Duties

• Support residents and families with psychosocial assessments and care planning
• Aid with discharge planning, transitions of care, and follow-up services
• Help residents and families find community resources (financial, legal, mental health, etc.)
• Offer support to residents experiencing behavioral or psychosocial challenges
• Work with the IDT to develop and implement person-centered care plans
• Be a bridge between residents, families, and the care team

Education, Licensure, and Experience

• Required: Active RN or LPN license in the state of employment
• PREFERRED: Experience with MDS/RAI process and care planning
• PREFERRED: Long-term care or skilled nursing experience
• PREFERRED: Experience with discharge planning, case management, or social services
• PREFERRED: PointClickCare (PCC) experience
• REQUIRED: Strong communication, organization, and interdisciplinary collaboration skills

Benefit Highlights

• Medical, Dental, Vision
• DailyPay - get paid when you need it
• Life Insurance
• Employee Assistance Program
• Growth and development opportunities

Location

Aspen Meadows Health and Rehabilitation Center
3155 Avenue C
Billings, MT 59102

About the Role

We are committed to a culture of integrity, teamwork, and compassionate care—because people always come first. Evergreen Healthcare Group is an Equal Opportunity Employer. 2026 AHCA Bronze Quality Award Recipient Join a team recognized nationally for its commitment to quality care, leadership development, and continuous improvement.