MDS Coordinator LVN or RN - The Renaissance Care Center (17053)

Cantex; Gainesville (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking an MDS Coordinator to oversee Medicare and Medicaid reimbursement processes. This role is crucial for maintaining compliance with federal and state regulations while ensuring quality patient care. The ideal candidate will have a valid Texas nursing license and experience in long-term care, along with strong communication and analytical skills. Join a team that values diversity and is committed to providing excellent patient services while enjoying a competitive compensation package and comprehensive benefits, including 401K matching and medical coverage.

Benefits

401K with match

CEU reimbursement

Vacation

Sick leave

Holidays

Medical insurance

Dental insurance

Supplemental insurance

Qualifications

• Must hold a valid Texas nursing license and have LTC experience.
• Certification in RAI and ability to communicate effectively are essential.

Responsibilities

• Ensure compliance with Medicaid and Medicare regulations.
• Coordinate assessments and audits to maintain quality patient care.
• Manage documentation and train staff on guidelines.

Skills

Effective Communication

Analytical Skills

Delegation

Report Writing

Education

Current Texas Nursing License (RN, LVN)

Acknowledgement of Completion Certificate (HHSC RUG Training)

AANAC RAI Certification

Job description

Job Details

Job Location: Skilled Nursing at Renaissance Care Center - Gainesville, TX

Position Type: Full Time

Salary Range: Undisclosed

Job Category: Nursing

Description

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Please visit cantexcc.com for more information on this location.

Job Summary:

The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.

Qualifications

Qualifications:

• A current, valid Texas nursing license is required (RN, LVN).
• At least 2 years of LTC experience preferred.
• Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
• Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
• Ability to effectively communicate, direct, and at times, delegate tasks.
• Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.
• Ability to effectively present information and respond to questions from department heads, customers (Patients, family members, physicians, etc.), and the public.

Essential Functions:

• Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
• Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination.
• Attends standup meetings every weekday morning.
• Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
• Audits the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
• Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
• Initiates and updates the physician certifications for each Medicare Part A Patient.
• Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
• Reviews the 24-hour Nursing report to capture possible change in condition of a Patient.
• Prepares for all Medicaid audits.
• Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.
• Achieves at least budgeted rates expectation.
• Has reviewed Cantex Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees' responsibility to enforce it.
• Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.
• Responsible for assuring patient/resident safety.
• Performs other duties and/or tasks as assigned.

#HP

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.