MDS Coordinator RN/LPN - Expert Care Planning & Compliance

Pioneer-Health-Care-Management-; Elba Township (MI); On-site; USD 53,000 - 76,000; Full time

Benefits offered by this job

Restaurant on site

Job summary

Pioneer Health Care Management is seeking an MDS Coordinator in Michigan to complete RAI assessments and integrate data for comprehensive resident care plans. You will ensure timely, compliant documentation across disciplines and support the care team with accurate MDS processes.

The role requires RN or LPN licensure, familiarity with MDS/RAI, and ability to coordinate with physicians, nursing staff, and other departments. Strong communication and leadership are essential.

Qualifications

• Minimum 1 year long-term care experience required.
• BLS certification required.
• Strong leadership and communication skills.
• Able to work independently and manage stress.

Responsibilities

• Complete the Resident Assessment Instrument (RAI) accurately and in a timely manner within regulated time frames.
• Assesses resident through physical assessment, interview and chart review
• Reviews information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning
• Coordinates, identifies, and/or initiates significant change MDS
• Discusses resident care needs with caregivers, including physician, nursing, social services, therapy, dietary, and activity staff
• Maintain and monitor compliance of state and federal rules and regulations related to RAI.
• Refer findings of inaccurate, untimely, or incomplete documentation to the Director of Nursing or Administrator and follow through to ensure timely compliance.
• Input information related to the RAI process into the electronic record keeping system.
• Assure that care plan dates are scheduled according to regulated guidelines.
• Perform the regular duties of an LPN/RN, as needed;
• Maintain knowledge and keep abreast of changes related to long term care issues.
• Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulation
• Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement
• Determine potential HIPPS codes and expenses associated with a potential admission
• Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
• Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EMR
• Update disciplines on insurance cuts, changes, and/or appeals
• Weekly IDT triple checks for A/R billing accuracy
• Coordinates and conducts PPS/Medicare meetings
• Remains current with American Association of Nursing Assessment Coordinators (AANAC) requirements
• Performs other duties as assigned

Skills

Leadership

Communication

Independence

Time management

Stress management

Education

RN or LPN license

High School diploma or GED

Job description

Pioneer Health Care Management is seeking an MDS Coordinator in Michigan to complete RAI assessments and integrate data for comprehensive resident care plans. You will ensure timely, compliant documentation across disciplines and support the care team with accurate MDS processes.

The role requires RN or LPN licensure, familiarity with MDS/RAI, and ability to coordinate with physicians, nursing staff, and other departments. Strong communication and leadership are essential.