MDS Coordinator: Care Planning & Compliance Lead

Reliant Management; Fresno (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

Reliant Management in Fresno, CA is seeking an MDS Nurse (MDS Coordinator) to direct, organize and schedule resident assessments and documentation for Medicare, Medicaid and private insurance reimbursement with an interdisciplinary team.

You will collaborate across departments, review medical records, calculate PPS dates, ensure compliance with reimbursement rules, and participate in care plan conferences to support high-quality resident care.

Qualifications

• Must be a licensed LVN/RN in California.
• Written and verbal communications in English as business necessity.
• Administrative and organizational ability and skills.

Responsibilities

• Collaborates with all departments to facilitate completion of MDS process.
• Calculates Medicare assessments and PPS dates.
• Oversees documentation to comply with Medicare or California Dept. of Health reimbursement rules.
• Review medical records and related to resident health status for MDS records.
• Calculate quarterly and annual assessments with appropriate dates.
• Monitors input to ensure accuracy, timeliness and compliance with reimbursement authorities.
• Attends care plan conferences as needed and Medicare meetings.
• Assess resident care needs and assist in developing individualized plans of resident care.
• Keeps current with job-related professional developments, regulations and standards.
• Attend and participate in continuing education programs to stay updated with changes.
• Identifies problems and reports for corrective action.
• Work cooperatively with residents, staff, volunteers, and families to ensure high-quality care.
• Observe all company policies and procedures.

Education

Licensed LVN/RN in California

Job description

Reliant Management in Fresno, CA is seeking an MDS Nurse (MDS Coordinator) to direct, organize and schedule resident assessments and documentation for Medicare, Medicaid and private insurance reimbursement with an interdisciplinary team.

You will collaborate across departments, review medical records, calculate PPS dates, ensure compliance with reimbursement rules, and participate in care plan conferences to support high-quality resident care.