MDS COORDINATOR (RN/LVN) (72720)

Regency Health Care, Inc.; Austin (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated MDS Coordinator to oversee the Resident Assessment Instrument process, ensuring compliance with Medicare and Medicaid standards. This role is pivotal in assessing residents' health and coordinating care with an interdisciplinary team. The ideal candidate will possess strong analytical and communication skills, along with a solid nursing background. Join a collaborative environment that values your expertise and offers opportunities for professional growth while making a meaningful impact on residents' lives.

Qualifications

• Graduate of an accredited nursing program with a current R.N. or L.V.N. license.
• At least two years of healthcare experience, preferably with MDS and case management.

Responsibilities

• Coordinate the Resident Assessment Instrument (RAI) process for accurate resident assessments.
• Ensure timely completion of Medicare/Medicaid case-mix documents for reimbursement.
• Participate in interdisciplinary team meetings for care planning.

Skills

Analytical and logical reasoning

Problem solving

Time management

Organizational skills

Research skills

Verbal communication

Written communication

Education

Graduate of an accredited nursing program

Current R.N. or L.V.N. license

Tools

MDS/RAI software applications

Job description

Join to apply for the MDS COORDINATOR (RN/LVN) (72720) role at Regency Integrated Health Services, LLC

Job Details

Job Location
Windsor Nursing and Rehabilitation Center of Duval - Austin, TX

Position Type
Full Time

Job Category
Nurse

Description

Primary Responsibilities

Responsible for coordinating the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in line with Medicare, Medicaid, OBRA, and other payer requirements. Ensures assessments reflect the physical, mental, and psychosocial status of residents, with proper documentation to support services and assessment accuracy. Communicates effectively with the interdisciplinary team.

Follows all RIHS policies and procedures.

Essential Functions

• Ensures timely, accurate, and complete assessment of residents' health and functional status.
• Participates in pre-admission processes to gather essential referral information.
• Completes Medicare/Medicaid case-mix documents accurately and on time for proper reimbursement.
• Collaborates with the Director of Rehab to determine appropriate assessment reference dates.
• Tracks Medicare/Managed Care eligibility and benefits using Case Management Tools, coordinating with relevant staff.
• Gathers information for Managed Care Utilization Reviews and communicates with external Case Managers.
• Ensures Medicare requirements like Physician certification are met.
• Performs concurrent MDS reviews to ensure correct RUGs categories.
• Participates in interdisciplinary team meetings for care planning.
• Completes all MDS assessments timely and accurately, including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change assessments.
• Identifies significant status changes and manages related assessments.
• Maintains schedule and proper reference dates for assessments.
• Tracks default days, implements corrective actions, and audits MDS processes regularly.
• Ensures electronic submission of MDS and reviews validation reports for accuracy.
• Addresses late/missed assessments and reviews quality reports monthly.
• Communicates with the Business Office about case mix and reimbursement impacts.
• Participates in daily, weekly, and monthly meetings related to case management and care levels.
• Serves as an RAI and Care Management resource for staff and assists in training.

Other Duties

• Manages departmental operations and maintains regulatory knowledge.
• Organizes data effectively and maintains professional appearance and communication.
• Supports business needs with flexible hours and resource utilization.
• Demonstrates clinical assessment skills and teamwork.

Key Competencies

• Analytical and logical reasoning
• Problem solving and time management
• Organizational and research skills
• Excellent verbal and written communication

Qualifications

Educational/Training

• Graduate of an accredited nursing program with current R.N. or L.V.N. license.
• LVN candidates may be considered, but specific functions require RN coordination as per regulations.
• Complete RIHS-specific MDS/RUGs training within 90 days of employment.
• Proficiency in office and MDS/RAI software applications.

Licensing

• Valid licensure in the state of employment.

Experience

• At least two years of healthcare experience.
• Experience with MDS, reimbursement, and case management preferred.

Physical Demands

Regularly required to communicate effectively. Accommodations available for disabilities. Physical demands include lifting, carrying, pushing, pulling, standing, sitting, walking, and other activities as detailed in the original description.

Regency Integrated Health Services is an Equal Opportunity Employer. We do not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status, or other protected categories.