MDS Nurse LVN/LPN

Essential Duties

• Complete MDS assessments and care area assessments (CAAs) within required timelines.
• Ensure accuracy of resident clinical documentation to support care planning and reimbursement.
• Maintain compliance with CMS, state, and facility guidelines.
• Collaborate with interdisciplinary team members to develop individualized care plans.
• Monitor resident progress and update care plans as needed.
• Participate in resident care conferences and quality improvement initiatives.
• Ensure MDS submissions meet regulatory requirements for Medicare/Medicaid reimbursement.
• Audit and survey assistance by providing accurate documentation and reports.
• Stay current with regulatory changes impacting MDS and skilled nursing documentation.
• Work closely with nursing staff, therapy, social services, and dietary teams to gather resident information.
• Provide education and guidance to staff on documentation standards and MDS requirements.
• Communicate effectively with residents and families regarding care planning.

Qualification

• Current LVN/LPN license in the state of practice.
• Prior experience in long-term care or skilled nursing facility preferred.
• Knowledge of MDS 3.0, RAI process, and Medicare/Medicaid reimbursement guidelines.
• Strong organizational skills with attention to detail and accuracy.
• Ability to work collaboratively with interdisciplinary teams.
• Proficiency in electronic health records (EHR) systems.