MDS Coordinator & RAI/Care Plan Lead

Apploi; Farmington (NM); On-site; USD 70,000 - 98,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Vision insurance

Job summary

Apploi is seeking a Licensed Registered Nurse to lead MDS processes and care planning within a multidisciplinary team in Farmington, NM. The role focuses on regulatory compliance, data integrity, and accurate documentation across Medicare/Medicaid requirements.

The ideal candidate will have MDS 3.0 experience, OBRA/MDS knowledge, and strong coordination skills to ensure timely submissions and quality care planning for residents.

Qualifications

• Case-Mix, PPDS and Medicaid reimbursement knowledge.
• Understanding of the Quality indicator process; OBRA regulations and MDS knowledge.
• Knowledge of the care planning process.
• Experience with MDS 3.0.
• Licensed as a Registered Nurse (RN).

Responsibilities

• Ensure interdisciplinary team decisions regarding MDS completion based on clinical criteria per the latest RAI Manual.
• Coordinate and manage daily stand-up meetings; review resident care and assessment reference dates.
• Comply with federal and state regulations for MDS process coordination.
• Monitor MDS and care plan documentation in medical records to support coding.
• Maintain current MDS status per state and federal guidelines.
• Enter resident information into MDS systems with accuracy.
• Code MDS data from records, observations, and interviews.
• Attend interdisciplinary and QA meetings; communicate changes and update records.
• Identify significant changes with DON; ensure MDS and care plan reflect changes.
• Arrange scheduling and notices for care planning conferences; communicate outcomes.
• Maintain knowledge base related to data entry and computer tech.
• Submit documentation to state databases as required by policy.
• Submit MDS on time; maintain validation records.
• Participate in regulatory surveys and correct deficiencies.
• Report audit trends to QA Committee.
• Ensure MDS-to-care plan timeliness and accuracy.
• Track RAI processes and Medicaid forms using Point Click Care.

Skills

Case-Mix knowledge

PPDS/Medicaid reimbursement

Quality indicator process

OBRA regulations & MDS knowledge

Care planning process

MDS 3.0 experience

Education

Registered Nurse (RN) licensed

Job description

Apploi is seeking a Licensed Registered Nurse to lead MDS processes and care planning within a multidisciplinary team in Farmington, NM. The role focuses on regulatory compliance, data integrity, and accurate documentation across Medicare/Medicaid requirements.

The ideal candidate will have MDS 3.0 experience, OBRA/MDS knowledge, and strong coordination skills to ensure timely submissions and quality care planning for residents.