LPN Charge Nurse/MDS Coordinator

The Oaks of Clearwater; Clearwater (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

The Oaks of Clearwater in Florida is seeking a highly skilled MDS Coordinator (active FL RN or LPN license) to oversee MDS/PDPM data collection, review, and submission within our resident-focused care setting.

You will coordinate assessments, collaborate with nursing, physicians, and case managers, ensure timely regulatory submissions, and maintain HIPAA compliance while leveraging Point Click Care or similar EMR systems.

Qualifications

• Must hold an active Florida RN or LPN license.
• Experience with MDS/PDPM processes and regulatory standards is required.
• Strong understanding of SNF Medicare regulations and ICD-10 coding is essential.

Responsibilities

• Coordinate the comprehensive assessment and documentation of resident conditions per MDS guidelines.
• Collaborate with nursing staff, physicians, and case managers to collect clinical information for MDS.
• Review medical records and coding details to support accurate data entry and payer requirements.
• Ensure timely submission of MDS assessments in alignment with regulatory deadlines.
• Maintain HIPAA compliance and secure handling of sensitive medical records.
• Provide ongoing staff education on documentation improvement and coding updates.

Skills

MDS/PDPM knowledge

Clinical documentation

Regulatory compliance

HIPAA compliance

Interdisciplinary teamwork

Staff education

Education

Active FL RN license

Active FL LPN license

Tools

PointClick Care

Simple LTC

EMR systems

Job description

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.ResponsibilitiesCoordinate 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.QualificationsProven 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 SystemsFamiliarity 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.