MDS Coordinator (PCC) LVN (25199)

Cantex

Pearland (TX)

On-site

USD 65,000 - 90,000

Full time

28 hours ago
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Benefits offered by this job

Competitive pay
Bonus opportunities
Health insurance
Dental insurance
Vision insurance
401k with company match
PTO/Sick leave
Career growth
Supportive culture

Job summary

Cantex is seeking a skilled MDS Coordinator in Pearland, TX to ensure accurate completion of the RAI process supporting Medicare/Medicaid reimbursement. You will oversee MDS assessments, documentation accuracy, and care plan coordination, while maintaining regulatory compliance and promoting high-quality resident care.

The role requires a Texas nursing license (RN or LVN), 2+ years in long-term care, and certification/training in MDS/RAI within 1 year.

Qualifications

  • TX nursing license (RN or LVN) verified.
  • Minimum 2 years' long-term care experience preferred.
  • Certification prerequisites: AANAC RAI within 1 year.
  • Completion of HHSC RUG Online Training for Nursing Facilities.

Responsibilities

  • Maintain compliance with state and federal Medicare/Medicaid rules.
  • Review pre-admission paperwork to confirm medical necessity.
  • Coordinate weekly reimbursement meetings with Interdisciplinary Team.
  • Audit clinical records for documentation accuracy and staff training.
  • Prepare for Medicaid audits and ensure documentation readiness.
  • Track resident benefit days and coordinate with Financial Manager for billing.

Skills

Communication
Documentation
Delegation
Regulatory understanding
Clinical reasoning

Education

Texas RN/LVN license
AANAC RAI Certification training
HHSC RUG Online Training

Job description

Location

Location: 12001 Shadow Creek Parkway Pearland, TX 77584-7296

Schedule

Schedule: Full-time role with standard business hours

Reports to

Reports to: Administrator / Director of Nursing

What We Offer You
  • Competitive pay
  • Performance‑based bonus opportunities
  • Comprehensive health, dental, and vision insurance
  • Additional supplemental benefits (life insurance, disability, accident, etc.)
  • 401(k) with company match
  • Generous paid time off (PTO/Sick)
  • Clear career growth and advancement opportunities
  • A supportive and vibrant company culture
  • Many more employee perks and benefits
Job Summary

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high‑quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

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
Essential Functions
  • 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

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

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