MDS Coordinator - Director of Care Coordination - RN

Diversicare of Shelby; Shelby (MS); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Competitive salary

Medical/dental/vision coverage

Excellent 401k plan

Tuition reimbursement

Job summary

Diversicare of Shelby in Shelby, MS is seeking an experienced MDS Coordinator/Clinical Coordinator (RN) to lead MDS accuracy and regulatory compliance across care teams. You will coordinate the RAI process, oversee documentation, and ensure timely submissions while supporting interdisciplinary care planning.

Join a dedicated team committed to high-quality resident care, staff development, and strong communication with families and payers in a post-acute setting.

Qualifications

• RN license required or RN in center with supervising RN present
• Experience with MDS/RAI processes and regulatory guidelines preferred
• Strong leadership, coordinating interdisciplinary teams and projects
• Excellent communication, collaboration and organizational skills
• Proficiency with documentation systems and health IT platforms
• Ability to educate staff on the RAI process and MDS timelines

Responsibilities

• Coordinate the RAI/MDS process end to end
• Ensure accurate, timely MDS assessments per regulations
• Collaborate with center team to document resident status and care needs
• Oversee completion of MDS sections by interdisciplinary team
• Maintain MDS tracking schedules and audit adherence
• Provide education on RAI processes to staff
• Coordinate electronic MDS submissions per regulations
• Review and correct state/federal reports and notifications
• Support care planning and conference to align resources with patient needs
• Lead care coordination meetings and discharge planning
• Communicate with patients/families and payers about care changes
• Oversee restorative nursing program in collaboration with team
• Assist with end of month billing reviews
• Perform other duties as assigned by Administrator

Skills

RN license

MDS/RAI experience

Leadership & team management

Regulatory knowledge

Communication skills

Organization & documentation

Tools

PCC

SHP

Managed Care Master

Job description

Overview

Exciting Opportunity: Join Diversicare as an MDS Coordinator - Director of Care Coordination - RN.

Diversicare is seeking a dedicated MDS Coordinator/Clinical Coordinator - RN to join our exceptional team and make a difference in the lives of our patients and residents. If you're passionate about ensuring accuracy and compliance in MDS assessments, this is the perfect opportunity for you.

Why Choose Diversicare:

• Leadership Opportunity: As our MDS Coordinator/Clinical Coordinator - (RN), you'll play a pivotal role in ensuring exceptional patient care by overseeing the accuracy and compliance of MDS assessments.
• Upholding Our Values: At Diversicare, we value trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. As an MDS Coordinator, you'll embody these values and help shape our workplace culture.
• Comprehensive Benefits: Enjoy a competitive benefits package, including competitve salary, medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, and more.

#ND123

Responsibilities

1. Coordinates the RAI process.
2. a. Ensures accurate and timely MDS assessments according to state and federal regulations
3. b. Utilizes the assessment observation period to collaborate with the entire team to ensure thorough documentation supporting the MDS is present in the medical record f.
4. c. Provides observations and interviews of center team members, patients, residents and family members for accurate assessment of the resident and patient
5. d. Ensures interdisciplinary team completes designated sections of the MDS assessment
6. e. Maintains the tracking system of MDS assessment schedules (timeframes and due dates)
7. f. Audits MDS assessments per company guidelines
8. g. Provides education related to the RAI Process routinely to center team members
9. h. Coordinates and completes electronic submissions of MDSs per federal regulations
10. Obtain, review and maintain all state and federal reports, making appropriate corrections timely.
11. Monitors Quality Measures and collaborates with the interdisciplinary team accordingly to ensure that MDSs are accurate to support and reflect the Quality Measures.
12. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely (i.e certifications, beneficiary notices, skilled documentation, coverage criteria, etc.)
13. Determines need for non-coverage notification and coordinates communication with patients/families/payers and the interdisciplinary team.
14. Collaborates with the clinical team in the development and execution of care planning and conference.
15. Facilitates daily care coordination meetings to ensure care resources are aligned with benefits and patient needs.
16. Facilitates and participates in the 72 Hour meeting. Ensure collaboration as part of the care management team.
17. Facilitates the completion of aftercare calls.
18. Responsible for the coordination of the restorative nursing program including collaboration with the interdisciplinary team.
19. Ensures timely communication with the patient/family regarding changes in condition, discharge planning, and post discharge communication to be documented in the medical record.
20. Manages all initial, concurrent, and discharge reviews (Managed Care authorizations, reauthorizations, and discharge summaries)
21. Responsible for ongoing communication with all insurance case managers.
22. Obtains and records all Managed Care Part B authorizations for the therapy department.
23. Ensures utilization of company tools/resources related to care management – e.g. PCC, SHP, and Managed Care Master.
24. Ensures timely facilitation of patient care rounds/conferences to review treatment plans and identify discharge and post discharge needs.
25. Participates in the End of Month Billing Review Foundational Process.
26. Other job assignments as directed by the Administrator.

Qualifications

1. Must hold a current RN license in state of employment. LPNs will be considered in centers where an RN is present in the department.
2. Previous MDS/RAI experience.
3. Skilled nursing/long term care experience to include regulatory requirements preferred.
4. Knowledge of PDPM, managed care reimbursement, utilization and case management as well as discharge planning preferred.
5. Experience providing strategic leadership, managing teams and leading projects to achieve desired outcomes.
6. Strong verbal, written and interpersonal skills.
7. Strong communication, collaboration, and organizational skills required.
8. Must be proficient with computers/technology and able to move easily between different software platforms.

Diversicare is committed to being an equal opportunity employer. Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.

(EOE)