MDS Nurse Consultant

Kalesta Healthcare Group; San Jose (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

Kalesta Healthcare Group seeks an MDS Consultant to own assessment accuracy, PDPM integrity, and MDS Coordinator development across Northern California SNFs. You’ll be the regional SME, partnering with facility teams to close documentation gaps, optimize case mix, and build coordinator competency that endures between visits.

Reporting to the Chief Nursing Officer, you will work alongside Regional Clinical Consultants, lead multi-site initiatives, and deliver ongoing education on RAI updates and

Qualifications

• 3+ years as MDS Coordinator in SNF.
• Experience in regional or multi-site consulting.
• Deep working knowledge of RAI, PDPM, QM measures.
• Five-Star data experience with state Medicaid case mix.

Responsibilities

• Oversight of MDS submissions, CAA accuracy, and timeliness across assigned facilities.
• Audit and trend analysis of MDS-related deficiencies with corrective plans.
• Accurate PDPM coding, case mix grouping, and clinical documentation review.
• Coaching, onboarding, and competency development for facility MDS Coordinators.
• Education sessions on RAI updates, PDPM changes, and Medicaid case mix.
• Build consistent documentation practices that persist between visits.

Skills

MDS coding

PDPM knowledge

Regional consulting

CMS standards

Job description

We're looking for an MDS Consultant to own assessment accuracy, PDPM integrity, and MDS Coordinator development across our Northern California SNFs. This isn't a compliance-checker role. You'll be the regional subject matter expert — partnering with facility teams to close documentation gaps, optimize case mix, and build coordinator competency that holds between your visits. You report to the Chief Nursing Officer and work alongside our Regional Clinical Consultants.

What You'll Own

Assessment & Compliance

• Oversight of MDS submissions, CAA accuracy, and timeliness across assigned facilities
• Compliance with CMS, state, and corporate standards for assessment and care planning
• Audit and trend analysis of MDS-related deficiencies with actionable corrective plans

PDPM & Reimbursement

• Accurate PDPM coding, case mix grouping, and clinical documentation review
• Identification of coding and clinical capture gaps — and the follow-through to close them
• Cross-functional alignment with therapy, nursing, and billing on resource utilization
• Direct coaching, onboarding, and competency development for facility-based MDS Coordinators
• Monthly or quarterly education sessions on RAI updates, PDPM changes, and state Medicaid case mix
• Building consistency in documentation practices that doesn't depend on your presence

What We're Looking For

• Prior regional or multi-site consulting experience
• 3+ years as MDS Coordinator in an SNF
• Deep working knowledge of RAI, PDPM, QMs, and
• Five-Star data Experience with state Medicaid case mix