MDS Coordinator: Regulatory & Care Plan Navigator

Opco-Skilled-Management-; Rio Rancho (NM); On-site; USD 70,000 - 90,000; Full time

Job summary

Opco-Skilled-Management- is seeking an MDS Coordinator to support the Director of Nursing and the RN Assessment Coordinator in ensuring documentation meets Federal and State guidelines. You will coordinate the RAI process from MDS through the interdisciplinary care plan, manage audits, and monitor validation of submissions, contributing to compliant and timely patient assessments.

Candidates should be licensed RNs or LPNs, with 2+ years SNF nursing experience and strong knowledge of OBRA,

Qualifications

• Graduate of an approved Registered Nurse / Licensed Vocational Nurse program and licensed in the state of practice required.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
• Through understanding of the Quality Indicator process.
• Knowledge of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.

Responsibilities

• Assists the center in assuring adherence to Federal and State regulations and certification.
• Actively participates in the regulatory or certification survey process and the correction of deficiencies
• Reports trends from completed audits to the Quality Assurance Committee
• Assures the completion of the RAI Process from the MDS through the interdisciplinary completion of the plan of care.
• Initiates and monitors RAI process tracking, discharge/reentry and Medicaid tracking forms through the PointClickCare system.
• Follows up with staff when necessary to assure compliance to standards of documentation.
• Completes patient assessments, data collection, and interviews staff as necessary to assure good standard of practice and as instructed in the current version of MDS User’s Manual.
• Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
• Ensures timely submission of the MDSs to the State with proper follow-up on validation errors. Maintains validation records from the submission process in a systematic and orderly fashion.

Skills

Case-Mix knowledge

Medicare PPS process

Medicaid reimbursement

Quality Indicator process

OBRA regulations

Minimum Data Set

Care planning process

Education

RN or LVN license

Job description

Opco-Skilled-Management- is seeking an MDS Coordinator to support the Director of Nursing and the RN Assessment Coordinator in ensuring documentation meets Federal and State guidelines. You will coordinate the RAI process from MDS through the interdisciplinary care plan, manage audits, and monitor validation of submissions, contributing to compliant and timely patient assessments.

Candidates should be licensed RNs or LPNs, with 2+ years SNF nursing experience and strong knowledge of OBRA,