RN - MDS Coordinator - RNC - Full Time - Days

Job Summary

The RN - MDS Coordinator will oversee the accurate and timely completion of Minimum Data Set (MDS) assessments, collaborating with interdisciplinary teams to enhance resident care plans and maintain compliance with regulatory requirements.

Core Job Responsibilities

• Coordinates the MDS assessment process with other healthcare professionals according to CMS guidelines.
• Collaborates with the interdisciplinary team to develop individualized care plans based on MDS assessments.
• Schedules required MDS updates with the care team, ensures completion, and submits to CMS.
• Checks CMS reports to ensure all submissions are complete.
• Creates care conference and care plan schedules to ensure timely interdisciplinary care planning meetings and accurate assessments.
• Monitors for resident changes in condition that may affect scores and reimbursement.
• Ensures completion of daily Medicare documentation and Medicare (re)certifications.
• Initiates and monitors appeals to Livanta.
• Prepares CMI (Case Mix Index) calculations and certifications for the State.
• Reviews and prepares QAPI reports from iQIES and CASPER.
• Evaluates care programs and initiates changes as necessary to ensure compliance with regulatory requirements.
• Communicates State and Federal regulatory revisions to facility management.
• Performs audits, analyzes data, and assists with plan of action to correct identified deficiencies.
• Reviews/analyzes QI/QM data for trends and indicators of negative outcomes and initiates corrective action.
• Coordinates the processing of Medicare determinations to ensure timely and accurate billing of resident accounts.
• Collaborates with other departments to support resident care, risk management, and quality management activities.
• Provides education to staff on MDS/PRI and care planning.
• Ensures resident rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage a complaint, are well established and maintained.
• Attends and participates in workshops, seminars, etc., to stay updated in MDS-related best practices.
• Performs related duties as assigned.

Education/Experience Requirements

• Three (3) or more years of clinical experience in an acute or long-term care setting.
• Strong understanding of MDS processes, regulations, and reimbursement systems (RUGS and PDPM).
• Excellent communication and interpersonal skills.
• Ability to interpret financial and statistical reports.
• Highly proficient with MS Office, databases, medical software, and the ability to learn new applications rapidly.

PREFERRED

• Three (3) years of experience working as a MDS/PRI assessor.
• Two (2) or more years of management experience in the health care field.
• Ability to read, write, and speak in other languages.

Licensure/Certification Requirements

• Mets RN licensure as outlined by current State Registered Nurse Licensure.
• Certified as a Resident Assessment Coordinator (RAC) and PRI assessor or obtains certification within the first 3 months of hire.
• BLS certification.