MDS Coordinator (RN/LVN) - Reimbursement & Care Planning Lead

StoneGate Senior Living, LLC; Lubbock (TX); On-site; USD 68,000 - 86,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Company Paid Life Insurance

401k Retirement Savings

Paid Time Off

Paid Holidays

Payday Advance

Gym Discounts

Employee Discounts

Job summary

The Plaza at Lubbock in Lubbock, TX is seeking an MDS Coordinator (RN or LVN) to oversee Medicaid and Medicare reimbursement, coordinate and complete clinical assessments, care planning, and MDS 3.0 transmission in compliance with federal/state regulations.

As MDS Coordinator you will guide the delivery of patient care within facility systems and physician orders, ensuring high-quality services in a customer-friendly environment while supporting positive patient experiences.

Qualifications

• Current RN or LVN license in the state of practice.
• 2+ years of experience in skilled nursing facility with MDS/Care Plans as an MDS Coordinator.
• Demonstrated proficiency in the RAI / PPS processes.
• Strong attention to detail, documentation, and resident assessment skills.
• Good communication, clerical, organizational, and computer skills.

Responsibilities

• Maintaining MDS/Care plan schedule for interdisciplinary team.
• Coordinating preparation of MDS and Care Plan as per regulatory requirements.
• Tracking Medicare resident benefit days, validating daily Medicare census, and coordinating this information with management to assure accurate billing.
• Completing responses to requests for additional information from the intermediary and appeals decisions, when necessary, within established time frames.
• Ensuring preparation of Medicare denial letters for each resident discharged from Medicare coverage within time limits imposed by Medicare guidelines.
• Participating in the ongoing evaluation of documentation required for Medicaid reimbursement.

Skills

Attention to detail

Communication skills

Organizational skills

Computer skills

Documentation proficiency

Job description

The Plaza at Lubbock in Lubbock, TX is seeking an MDS Coordinator (RN or LVN) to oversee Medicaid and Medicare reimbursement, coordinate and complete clinical assessments, care planning, and MDS 3.0 transmission in compliance with federal/state regulations.

As MDS Coordinator you will guide the delivery of patient care within facility systems and physician orders, ensuring high-quality services in a customer-friendly environment while supporting positive patient experiences.