Clinical Documentation/MDS Nurse Specialist

University of Minnesota School of Nursing; Northern (KY); On-site; USD 85,000 - 120,000; Full time

Job summary

University of Minnesota School of Nursing seeks a Clinical Documentation/MDS Nurse Specialist to guide MDS processes across Minnesota State Veterans Homes. You will provide clinical and regulatory consultation, mentor MDS Coordinators, and ensure accurate documentation and billing practices.

The role requires MN RN licensure, RAC-CT (or ability to obtain), and strong knowledge of Medicare regulations. Travel to all Veterans Home locations is expected as part of the position.

Qualifications

• Current licensure as a Registered Nurse in Minnesota with no restrictions.
• Experience with Minimum Data Set (MDS) nurse processes and documentation.

Responsibilities

• Guide and oversee clinical care processes for MDS in Minnesota State Veterans Homes.
• Provide clinical and regulatory consultation to MDS teams for care delivery and documentation.
• Orient and train MDS Coordinators in resident assessments, MDS completion, and care planning.
• Serve as subject matter expert in MDS and CMS regulations for Central Office staff; coordinate with billing staff as needed.
• Lead agency-level MDS meetings and participate in facility-level meetings; support survey readiness.

Skills

MDS knowledge

CMS regulations

Regulatory compliance

Clinical leadership

Education

RN license (Minnesota)

Job description

This position serves Minnesota Veterans Home residents by guiding and overseeing clinical care processes for the MDS in each of the Minnesota State Veterans Homes. The Clinical Documentation/Minimum Data Set (MDS) Nurse Specialist will provide clinical and regulatory consultation and guidance to the clinical MDS teams in the delivery of quality care and case management of residents’ medical care and documentation best practices. The Clinical Documentation/MDS Nurse Specialist orients, mentors and trains facility level MDS Coordinators in conducting resident assessments, completing the MDS, developing resident plans of care, and documentation requirements. This position also serves as a subject matter expert in MDS and CMS regulations for MDVA Central Office staff and coordinates with Central Office billing consultant staff as needed to ensure appropriate documentation and billing practices.

The Clinical Documentation/MDS Nurse Specialist routinely reviews and provides clinical consultation for required MDS assessment updates for the agency. This position is responsible for staying current with regulatory updates and developing and delivering education to the interdisciplinary teams on these regulatory changes. Develops and carry out routine audits to ensure compliance with regulatory guidelines.

Additionally, this position is responsible for organizing and leading agency level MDS meetings and attending facility level MDS and compliance meetings in a resource capacity. Is a member of the Central Office Survey Readiness team and participates in the survey readiness visits to each MDVA facility on an annual basis.

Minimum Qualifications

• Current licensure as a Registered Nurse in the State of Minnesota, with no restrictions and in good standing.
• Four (4) years of combined long-term care/skilled nursing and clinical Minimum Data Set (MDS) nurse experience, with demonstrated competency in both areas.
• Ability to travel to all Minnesota Veteran Home locations.
• Resident Assessment Coordinator Certification (RAC-CT) or the ability to obtain it within the probationary period.
• Knowledge of Medicare and healthcare reimbursement regulations / systems.