MDS Coordinator RN

Personal Healthcare Management LLC; Cambridge (MA); On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Job summary

Personal Healthcare Management LLC in Cambridge, MA seeks a Registered Nurse or Licensed Practical Nurse to lead MDS assessments, care planning, and interdisciplinary coordination for long‑term residents. The role emphasizes timely documentation, regulatory compliance, and collaboration with nursing, rehabilitation, diet, and social services.

You will monitor MDS timelines, organize care plan conferences, and ensure accurate records while maintaining resident rights and safety.

Qualifications

• MDS knowledge and care plan processes
• Clear and timely documentation
• Experience with PPS/PDPM awareness
• Strong communication with interdisciplinary teams

Responsibilities

• Schedules and completes MDS assessments and care plans for residents.
• Monitors MDS timelines and signs off RN completion.
• Advises supervisor of incomplete or untimely assessments.
• Ensures accurate, timely completion of care plans and related documentation.
• Coordinates inter-disciplinary care planning and conferences.

Skills

MDS knowledge

Care plans

RN/LPN licensure

Documentation

Communication skills

Education

RN or LPN licensure

Job description

Available Position: FT, PT & PD

We offer the Following:

• Premium Compensation
• Great Benefits Package
• Professional Growth & Stability

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Principle Duties and Responsibilities

• Schedules and Completes Minimum Data Set (MDS) Assessments and care plans for all residents assigned
• Monitors completion of MDS Assessments by other disciplines and ensures timely completion per CMS and RAI guidelines and Signs off the RN completion
• Advises supervisor of incomplete and/or untimely assessments by disciplines other than nursing
• Ensures accurate, timely completion of the MDS/CAAs/Care plans sheet for assigned residents
• Initiates care plans and supporting activities that will result in best possible outcome for assigned residents
• Generates and distributes monthly care plan calendar for the following month
• Conducts care plan conferences for assigned residents
• Maintains and updates all care plans and assessments for assigned residents on a quarterly basis (at minimum) and adds/deletes issues, as necessary
• Reviews all resident incidents and accidents and the 24-hour report daily to ensure that care plans for assigned residents reflect current and changing needs
• At patient care conferences, facilitates, and coordinates the activities of the disciplines of nursing, rehabilitation, dietary, activities, social services, and restorative nursing
• Monitors and ensures completion of 7-day look-back documentation by nursing staff within prescribed MDS timeframe
• Participates in facility management meetings as requested
• Monitors and audits clinical record documentation on assigned residents to ensure accuracy and timeliness
• Advises Director of Nursing Care of persistent issues related to non-compliant documentation on assigned residents
• Promotes and participates in ongoing education, inside and outside the facility, to maintain and enhance knowledge of current / new regulations
• Maintains current knowledge of RAI Manual and MDS PDPM assessment process
• Attends in-service training and other educational programs as directed or authorized
• Performs all job duties in a manner that ensures that confidential information and resident rights are protected at all times
• Supports quality of care and operational efficiency by maintaining acceptable attendance record
• Performs all job duties in a safe manner in accordance with established safety guidelines, protocols and expectations
• Reports unsafe conditions when noted and immediately reports accidents to immediate supervisor or another designated on-duty manager
• Supports and promotes facility and company standards for superior customer service by exhibiting positive, courteous, and helpful behavior when dealing with all internal and external customers
• Complies with established standards described in facility policies and procedures, code of conduct, corporate compliance plan, employee handbook and other company documents and publications

Minimum Qualification

Education:

Graduate of an accredited school of nursing in preparation for Registered Nurse or Licensed Practical Nurse licensure

Experience:

One-year previous experience in long term care environment, must be experience in RN/LPN. Knowledge of MDS and Care Plan process. Basic knowledge of PPS and PDPM

Other Requirements:

• Must be a Registered Nurse or a Licensed Practical Nurse licensed by the MA Board of Nursing
• Demonstrates verbal and written communication skills (in the English language) sufficient to perform the principal duties and responsibilities outlined in this position description
• Capable of performing the following minimum physical requirements:
  • a. heavy lifting such as transferring residents from bed to wheelchair and / or lifting and carrying heavy objects
  • b. stooping, bending, kneeling, and reaching such as bathing a resident, wiping spills off floor, making a bed, lifting food trays from a cart, placing materials on shelves, etc
  • c. frequent walking
  • d. pushing and pulling heavy carts such as food carts, medication carts, hand trucks, etc
  • e. climbing stairs, stools, ladders

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.

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