MDS Coordinator — Lead RAI, Compliance & Care Planning

Big-Horn-Rehabilitation-and-Care-Center; Wyoming (OH); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation

Health, dental, vision insurance

Paid time off

Continuing education support

Leadership development

Job summary

Big Horn Rehabilitation and Care Center in Sheridan, WY is seeking an experienced MDS Coordinator (Minimum Data Set) to lead the RAI process, ensure accurate assessments, and support reimbursement for Medicare and Medicaid.

The role reports to the nursing leadership, collaborates with interdisciplinary teams, and requires an LPN or RN license with 2+ years of nursing experience in long-term care and strong knowledge of MDS 3.0 and PDPM.

Qualifications

• Active LPN or RN license in Wyoming (required)
• Minimum 2 years nursing experience, at least 1 year in long-term care or skilled nursing (MDS experience preferred)
• Strong working knowledge of MDS 3.0, PDPM, RAI guidelines, and care planning processes
• Familiarity with CMS regulations, Medicare/Medicaid billing, and quality measures
• Excellent organizational, communication, and analytical skills
• Proficiency in electronic health records (EHR) and MDS software systems

Responsibilities

• Oversee and manage the RAI process including MDS assessments, CAAs, and interdisciplinary care planning
• Ensure timely and accurate MDS submissions in compliance with CMS and state guidelines
• Monitor and audit documentation to support MDS coding and reimbursement accuracy
• Coordinate and lead care plan meetings with the interdisciplinary team
• Educate and support nursing staff in documentation best practices and regulatory requirements
• Track and analyze resident acuity and case mix data for planning
• Communicate with billing, therapy, and external reviewers to ensure proper reimbursement and compliance
• Maintain current knowledge of CMS regulations, PDPM, and nursing home survey processes
• Participate in Quality Assurance & Performance Improvement (QAPI) activities
• Maintain confidentiality and comply with HIPAA and facility policies

Skills

LPN or RN license (Wyoming)

MDS 3.0, PDPM, RAI knowledge

Nursing experience in LTC/skilled care

EHR and MDS software proficiency

Organization and communication skills

CMS regulations familiarity

Tools

MDS software

EHR systems

Job description

Big Horn Rehabilitation and Care Center in Sheridan, WY is seeking an experienced MDS Coordinator (Minimum Data Set) to lead the RAI process, ensure accurate assessments, and support reimbursement for Medicare and Medicaid.

The role reports to the nursing leadership, collaborates with interdisciplinary teams, and requires an LPN or RN license with 2+ years of nursing experience in long-term care and strong knowledge of MDS 3.0 and PDPM.