MDS Coordinator: Care Plans, Compliance & Team Lead

Talentify; Maywood (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

Talentify in New Jersey seeks a skilled MDS/Nurse Coordinator to manage the facility's RAI process in compliance with state and federal regulations.

You will lead interdisciplinary care planning, complete MDS and related docs, audit records, and collaborate with health plans to secure approvals and ensure eligibility.

This role requires interpreting complex rules and providing education to staff to optimize quality reporting and PPS outcomes.

Responsibilities

• Coordination of the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations.
• Accurate completion of all MDS assessments and any supporting assessments or clinical documentation.
• Implementation and ongoing evaluation of each resident’s comprehensive plan of care.
• Scheduling and leading interdisciplinary care plan team meetings.
• Auditing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education to department heads, physicians, and other staff as needed.
• Collaborating with health plans, physicians and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria.
• Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving in regards to the SNF prospective payment system and quality reporting program

Job description

Talentify in New Jersey seeks a skilled MDS/Nurse Coordinator to manage the facility's RAI process in compliance with state and federal regulations.

You will lead interdisciplinary care planning, complete MDS and related docs, audit records, and collaborate with health plans to secure approvals and ensure eligibility.

This role requires interpreting complex rules and providing education to staff to optimize quality reporting and PPS outcomes.