LPN Charge Nurse/MDS Coordinator

Tjm Property Management; Clearwater (FL); On-site; USD 68,000 - 83,000; Full time

Job summary

The Oaks of Clearwater LLC in Clearwater, FL is seeking an MDS Coordinator with an active FL RN or LPN license to manage MDS/PDPM processes, documentation, and regulatory compliance.

You will coordinate assessments, collaborate with nursing staff and physicians, review ICD-10 codes, ensure timely submissions, and coach staff on documentation while upholding HIPAA in a SNF setting.

Qualifications

• Active Florida RN or LPN license required.
• Extensive knowledge of MDS/PDPM processes and regulatory standards.

Responsibilities

• Coordinate assessment and documentation of resident conditions per MDS guidelines.
• Collaborate with nursing staff, physicians, case managers for MDS completion.
• Review medical records, ICD-10 codes, and coding details for accuracy and compliance.
• Ensure timely submission of MDS assessments per deadlines and state regulations.
• Utilize EMR systems like Point Click Care to document assessments.
• Educate staff on documentation improvement strategies and ICD coding updates.
• Monitor CDI, discharge planning, hospice care, and case management metrics.
• Maintain HIPAA compliance when handling sensitive medical records.

Skills

MDS Coordination

Regulatory Compliance

Clinical Documentation

Data Entry

HIPAA Compliance

Education

Active FL 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.