MDS Coordinator for Reimbursement & Care Quality

Cantex Continuing Care Network; Groves (TX); On-site; USD 65,000 - 75,000; Full time

Benefits offered by this job

Competitive pay

Performance‑based bonus opportunities

Health, dental, and vision insurance

Life insurance, disability, accident,

401(k) with company match

Paid time off (PTO/Sick)

Career growth opportunities

Supportive company culture

Many more employee perks

Job summary

Cantex Continuing Care Network seeks an experienced MDS Coordinator for Magnolia Manor in Groves, TX. You will oversee the RAI process, MDS assessments, and care-plan coordination to support compliant Medicare/Medicaid reimbursement.

This role emphasizes interdisciplinary collaboration and accurate clinical documentation. Responsibilities include regulatory compliance, pre‑admission review, and ongoing audits, with opportunities for professional certification and growth within a supportive team.

Qualifications

• Current, valid Texas nursing license (RN or LVN).
• At least 2 years of long‑term care experience preferred.
• Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities.
• Must complete AANAC RAI Certification within 1 year of employment.
• Strong communication, documentation, and delegation skills.
• Ability to read, write, analyze, and interpret clinical documentation, regulations, and technical procedures.
• Ability to write reports, business correspondence, nursing progress notes, and care‑related documentation.
• Ability to present information effectively to department heads, residents, families, physicians, and regulatory partners.

Responsibilities

• Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and published interpretations.
• Review pre‑admission paperwork to ensure qualifying medical necessity.
• Attend daily weekday stand‑up meetings.
• Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure reimbursement aligns with care delivery.
• Audit clinical records to ensure documentation accuracy; educate and train staff on documentation guidelines.
• Obtain and update Medicare‑qualifying diagnoses for Medicare Part A residents.
• Initiate and update physician certifications for Medicare Part A residents.
• Complete all MDS assessments within required timeframes for Medicare and Medicaid residents.
• Review 24‑hour nursing reports to identify changes in resident condition.
• Prepare for Medicaid audits and ensure documentation readiness.
• Track resident benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing.
• Achieve budgeted reimbursement rate expectations.
• Uphold Patient Care Management Systems and Financial Management Systems.
• Ensure resident safety and compliance with Abuse Prevention policies.
• Perform other duties as assigned.

Skills

MDS Coordinator

RN/LVN license

Long-term care

Regulatory compliance

Documentation

Education

Texas Nursing License (RN/LVN)

Tools

HHSC RUG Online Training

AANAC RAI Certification

Job description

Cantex Continuing Care Network seeks an experienced MDS Coordinator for Magnolia Manor in Groves, TX. You will oversee the RAI process, MDS assessments, and care-plan coordination to support compliant Medicare/Medicaid reimbursement.

This role emphasizes interdisciplinary collaboration and accurate clinical documentation. Responsibilities include regulatory compliance, pre‑admission review, and ongoing audits, with opportunities for professional certification and growth within a supportive team.