MDS COORDINATOR - RN/LVN (72722)

Regency Health Care, Inc.; Bastrop (TX); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated MDS Coordinator to join their team. This role focuses on coordinating resident assessments, ensuring compliance with Medicare and Medicaid requirements, and collaborating with healthcare teams to optimize care. The ideal candidate will possess strong analytical and communication skills, as well as a valid nursing license. This position offers the opportunity to make a significant impact on patient care in a supportive environment, where your expertise will be valued and developed. If you are passionate about healthcare and ready to take on a challenging role, this is the perfect opportunity for you.

Qualifications

• Graduate of an accredited nursing school with current RN or LVN license.
• Completion of RIHS MDS/RUGs training within 90 days of employment.

Responsibilities

• Coordinate the Resident Assessment Instrument process for accurate resident assessments.
• Communicate effectively with the interdisciplinary team and ensure compliance with regulations.

Skills

Analytical reasoning

Problem solving

Time management

Organizational skills

Communication skills

Education

Accredited nursing school graduate

Current RN or LVN license

RIHS MDS/RUGs training

Tools

MDS/RAI software applications

Job description

Join to apply for the MDS COORDINATOR - RN/LVN (72722) role at Regency Integrated Health Services, LLC

Job Details

Job Location: Windsor Nursing and Rehabilitation Center of Bastrop - Bastrop, 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 according to Medicare, Medicaid, OBRA, and other payer requirements. Ensures assessments reflect residents' physical, mental, and psychosocial status, 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 assessment of residents’ health and functional status throughout the assessment period.
• Participates in pre-admission process to gather essential information for MDS/Case Mix optimization.
• Completes Medicare/Medicaid case-mix documents accurately and timely for proper reimbursement.
• Collaborates with the Director of Rehab to determine the appropriate assessment reference date (ARD).
• Tracks Medicare/Managed Care eligibility and benefit periods, communicating with relevant teams.
• Gathers information for Managed Care Utilization Reviews and communicates with Managed Care organizations.
• Ensures Medicare program requirements, like Physician certification, are met.
• Performs concurrent MDS reviews to ensure appropriate RUGs categories.
• Participates in interdisciplinary team processes for care planning.
• Completes all MDS assessments timely and accurately, including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change assessments.
• Identifies significant changes in resident status for appropriate MDS updates.
• Maintains schedule and references for all assessments, tracks default days, and implements corrective actions as needed.
• Performs modifications or inactivation of assessments per CMS policies.
• Conducts audits of MDS processes, validates coding, and evaluates outcomes.
• Ensures electronic submission of MDS and maintains backup personnel for this process.
• Reviews validation reports, late/missed assessments, and QM/QRP reports, taking necessary follow-up actions.
• Communicates regularly with the Business Office and Administrator regarding case mix and reimbursement impacts.
• Participates in daily and weekly care management meetings and assists with additional requests.
• Serves as an RAI and Care Management resource for staff.
• Uses AIS for training and educational purposes and assists in training new staff on RAI processes and regulations.

Other Duties

• Manages daily department operations, maintains organized data, and updates knowledge of reimbursement regulations.
• Maintains professional appearance and dress code.
• Communicates with regional specialists regarding clinical and reimbursement issues.
• Supports flexible work hours and utilizes resources effectively.
• Demonstrates strong clinical assessment, documentation, and interpersonal skills.
• Performs other duties as assigned.

Key Competencies

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

Qualifications

Educational/Training Requirements

• Graduate of an accredited nursing school with current R.N. or L.V.N. license.
• LVN candidates may be considered, but certain functions require RN.
• Completion of RIHS MDS/RUGs training within 90 days of employment.
• Proficiency with office and MDS/RAI software applications.
• High initiative and ability to lead interdisciplinary teams.

Licensing Requirements

• Valid licensure in the state of employment.

Experience Requirements

• Minimum two years in healthcare.
• Experience with MDS, reimbursement, clinical utilization, or case management is highly desirable.

Physical Demands

Regularly required to communicate effectively; accommodations available for disabilities. Physical demands include lifting, carrying, pushing, pulling, standing, sitting, walking, speaking, driving, and reaching, with specific weight capacities and actions outlined.

Additional Information

Regency is an Equal Opportunity Employer. Employment decisions are based on non-discriminatory criteria.