MDS Coordinator: Compliance & Care Planning Lead

OPCO Skilled Management; Rio Rancho (NM); On-site; USD 60,000 - 90,000; Full time

Job summary

OPCO Skilled Management is seeking an MDS Coordinator to assist the Director of Nursing and the RN Assessment Coordinator in ensuring documentation aligns with Federal, State, and Certification guidelines. The role coordinates the RAI process to assure timely and complete MDS, CAAs, and the interdisciplinary care plan.

The successful candidate will support regulatory survey activities, monitor audits, and ensure accurate data collection and reporting for Medicare/Medicaid reimbursement.

Qualifications

• Graduate of an approved Registered Nurse / Licensed Vocational Nurse program and licensed in the state of practice.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
• Through understanding of the Quality Indicator process.
• Knowledge of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.

Responsibilities

• Assists the center in assuring adherence to Federal and State regulations and certification.
• 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 of the RAI Process from the MDS through the interdisciplinary completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system.
• Follows up with staff when necessary to assure compliance to standards of documentation.
• Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual.
• Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
• 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.

Skills

Case-Mix knowledge

Medicare PPS knowledge

Medicaid reimbursement knowledge

Quality Indicator process

OBRA regulations

Minimum Data Set

Care planning

Education

RN or LPN license

Job description

OPCO Skilled Management is seeking an MDS Coordinator to assist the Director of Nursing and the RN Assessment Coordinator in ensuring documentation aligns with Federal, State, and Certification guidelines. The role coordinates the RAI process to assure timely and complete MDS, CAAs, and the interdisciplinary care plan.

The successful candidate will support regulatory survey activities, monitor audits, and ensure accurate data collection and reporting for Medicare/Medicaid reimbursement.