MDS Coordinator RN — Care Coordination Leader

Diversicare Healthcare Services, LLC; Shelby (MS); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical/Dental/Vision

401k Plan

Tuition Reimbursement

Job summary

Diversicare is seeking a dedicated MDS Coordinator/Clinical Coordinator - RN to join our exceptional team and ensure accuracy and compliance in MDS assessments.

This role oversees the RAI process, coordinates care planning, and leads the interdisciplinary team to support Quality Measures and regulatory requirements. If you are a skilled leader with strong communication and a passion for resident care, Diversicare offers a competitive benefits package and growth opportunities.

Qualifications

• Must hold a current RN license in state of employment.
• Previous MDS/RAI experience preferred.
• Knowledge of PDPM, managed care reimbursement, utilization and case management as well as discharge planning is preferred.
• Experience providing strategic leadership, managing teams and leading projects to achieve desired outcomes.

Responsibilities

• Coordinates the RAI process.
• Ensures accurate and timely MDS assessments according to state and federal regulations.
• Utilizes the assessment observation period to collaborate with the entire team to ensure thorough documentation supporting the MDS is present in the medical record.
• Provides observations and interviews of center team members, patients, residents and family members for accurate assessment of the resident and patient.
• Ensures interdisciplinary team completes designated sections of the MDS assessment.
• Maintains the tracking system of MDS assessment schedules (timeframes and due dates).
• Audits MDS assessments per company guidelines.
• Provides education related to the RAI Process routinely to center team members.
• Coordinates and completes electronic submissions of MDSs per federal regulations.
• Obtain, review and maintain all state and federal reports, making appropriate corrections timely.
• Monitors Quality Measures and collaborates with the interdisciplinary team accordingly to ensure that MDSs are accurate to support and reflect the Quality Measures.
• Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely.
• Determines need for non-coverage notification and coordinates communication with patients/families/payers and the interdisciplinary team.
• Collaborates with the clinical team in the development and execution of care planning and conference.
• Facilitates daily care coordination meetings to ensure care resources are aligned with benefits and patient needs.
• Facilitates and participates in the 72 Hour meeting. Ensure collaboration as part of the care management team.
• Facilitates the completion of aftercare calls.
• Responsible for the coordination of the restorative nursing program including collaboration with the interdisciplinary team.
• Ensures timely communication with the patient/family regarding changes in condition, discharge planning, and post discharge communication to be documented in the medical record.
• Manages all initial, concurrent, and discharge reviews (Managed Care authorizations, reauthorizations, and discharge summaries).
• Responsible for ongoing communication with all insurance case managers.
• Obtains and records all Managed Care Part B authorizations for the therapy department.
• Ensures utilization of company tools/resources related to care management.
• Ensures timely facilitation of patient care rounds/conferences to review treatment plans and identify discharge and post discharge needs.
• Participates in the End of Month Billing Review Foundational Process.
• Other job assignments as directed by the Administrator.

Skills

RN license

MDS/RAI experience

Regulatory knowledge

Team leadership

Communication

Education

RN licensure

Job description

Diversicare is seeking a dedicated MDS Coordinator/Clinical Coordinator - RN to join our exceptional team and ensure accuracy and compliance in MDS assessments.

This role oversees the RAI process, coordinates care planning, and leads the interdisciplinary team to support Quality Measures and regulatory requirements. If you are a skilled leader with strong communication and a passion for resident care, Diversicare offers a competitive benefits package and growth opportunities.