MDS Coordinator

Outfield Healthcare Partners; Farmington (NM); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Vision insurance

Job summary

Outfield Healthcare Partners in Farmington, NM seeks a licensed Registered Nurse with expertise in MDS 3.0, OBRA, and Medicare/Medicaid reimbursement to manage the RAI workflow and care planning.

You will coordinate with an interdisciplinary team, ensure timely MDS coding, and maintain accurate records and plans of care for residents in a full‑time capacity.

Qualifications

• Requires strong knowledge of Case-Mix, Medicare PPDS and Medicaid reimbursement.
• Understands quality indicators and OBRA regulations, and the MDS framework.
• Proficient in care planning and MDS 3.0 documentation and coding.

Responsibilities

• Ensure interdisciplinary team decisions regarding MDS completion based on clinical criteria and MDS guidelines.
• Coordinate and lead daily stand-up meetings focusing on resident care and assessment planning dates.
• Comply with federal and state regulations for MDS completion and RAI coordination.
• Monitor MDS and care plan documentation across residents, ensuring medical records support MDS coding.

Skills

Case-Mix knowledge

Medicare PPDS process

Medicaid reimbursement

Quality indicators

OBRA regulations

MDS 3.0

Care planning process

Regulatory knowledge

Education

Registered Nurse licensure (RN)

Job description

Job Type: Full-Time

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Qualifications

• Excellent knowledge of Case-Mix, the Federal Medicare PPDS process and Medicaid reimbrusement, as required.
• Thorough understanding of the Quality indictator process. Knowledge of the OBRA regulations and Minimum Data Set
• Knowledge of the care planning process.
• Experience with MDS 3.0.
• Licensed as a Registered Nurse.

Qualifications

• Excellent knowledge of Case-Mix, the Federal Medicare PPDS process and Medicaid reimbrusement, as required.
• Thorough understanding of the Quality indictator process. Knowledge of the OBRA regulations and Minimum Data Set
• Knowledge of the care planning process.
• Experience with MDS 3.0.
• Licensed as a Registered Nurse.

Responsibilities

• Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User's Manual.
• Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s).
• Complies with federal and state regulations regarding completion and coordination of the RAI process.
• Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding.
• Maintains current MDS status of assigned residents according to state and federal guidelines.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
• Attends interdisciplinary team meeting, quality assurance and other meeting in order to gather information, communicate changes, and maintain and update records.
• Assists DON or designee with identification of a significant change, physician orders and verbal reports to assure that the MDS and care plan are reflective of those changes.
• Prepares scheduling, notice of resident care planning conferences, and assists DON in communication of outcomes/problems to the responsible staff, resident, and/or responsible party.
• Continually updating knowledge base related to data entry and computer technology.
• Completes electronic submission of required documentation to the state database and other entities per company policy.
• Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion.
• Actively participates in the regulatory or certification survey process and the correction of deficiencies.
• Reports trends from completed audits to the Quality Assurance Committee.
• Assures the completion and timeliness of the RAI Process from the MDS through the completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the Point Click Care system.