LPN Charge Nurse/MDS Coordinator

The Oaks of Clearwater LLC; Clearwater (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

The Oaks of Clearwater LLC in Clearwater, FL is seeking a skilled MDS Coordinator with an active Florida RN or LPN license to join our healthcare team and ensure accurate MDS/PDPM data collection, review, and submission.

The role requires familiarity with EMR systems (Point Click Care, Simple LTC), ICD-10 coding, and Medicare regulatory knowledge to support reimbursement, quality reporting, and compliance while coordinating with nursing staff and case managers.

Qualifications

• Active Florida RN or LPN license is required.
• Strong knowledge of MDS/PDPM processes and regulatory requirements.
• Experience with ICD-10 coding, DRG assignment, and utilization review processes.

Responsibilities

• Coordinate comprehensive MDS assessments and documentation per guidelines to ensure accuracy.
• Collaborate with nursing staff, physicians, case managers, and other professionals to collect clinical information for MDS completion.
• Review medical records and coding details to support data entry and payer requirements.
• Ensure timely submission of MDS assessments in line with regulatory deadlines.
• Utilize EMR systems (e.g., Point Click Care or similar) to document assessments in the EHR.
• Educate staff on documentation improvements, coding updates, and CDI practices.
• Monitor quality metrics related to clinical documentation and discharge planning to optimize outcomes.

Skills

MDS/PDPM process knowledge

ICD-10 coding knowledge

Regulatory compliance

Interdisciplinary collaboration

Education

Active Florida RN or LPN license

Tools

Point Click Care

Simple LTC

Job description

Job Details

Job Location: The Oaks of Clearwater LLC - Clearwater, FL 33756

Job Shift: Day

We are seeking a highly skilled and detail-oriented MDS Coordinator (Must have active FL RN or LPN Nursing License) to join our healthcare team. The ideal candidate will possess comprehensive knowledge of the Minimum Data Set (MDS)/PDPM process, clinical documentation, and regulatory compliance standards. As an essential member of our interdisciplinary team, the MDS Coordinator will oversee the accurate collection, review, and submission of resident data to ensure optimal reimbursement, quality reporting, and compliance with federal and state regulations. This role offers an opportunity to contribute significantly to patient care quality and operational efficiency within a dynamic healthcare environment.

Responsibilities

• Coordinate the comprehensive assessment and documentation of resident conditions in accordance with MDS guidelines, ensuring accuracy and completeness.
• Collaborate with nursing staff, physicians, case managers, and other healthcare professionals to gather pertinent clinical information for MDS completion.
• Review medical records, clinical documentation, and coding details—including ICD-10 codes—to support precise data entry and compliance with SNF Medicare and other payer requirements.
• Ensure timely submission of MDS assessments in alignment with regulatory deadlines while maintaining adherence to state-specific regulations.
• Utilize EMR (Electronic Medical Record) systems such as Point Click Care or similar to document assessments within the electronic health record (EHR)
• Conduct ongoing education for staff on documentation improvement strategies, utilization management, and coding updates related to ICD coding systems.
• Monitor quality metrics related to clinical documentation improvement (CDI), discharge planning, hospice care, and case management processes to optimize patient care outcomes.
• Maintain strict compliance with HIPAA regulations while managing sensitive medical records and ensuring confidentiality throughout all documentation processes.

Qualifications

• Proven experience in managed care settings or hospital environments with a strong understanding of inpatient and outpatient clinical workflows.
• Extensive knowledge of Point Click Care, Simple LTC or similar EMR Systems
• Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes.
• Background in medical office administration or health information management with a focus on medical documentation review.
• Strong understanding of SNF Medicare regulations, discharge planning procedures, and hospice care protocols.
• Excellent organizational skills coupled with the ability to interpret complex medical terminology and physiology knowledge for accurate data collection.