MDS Nurse: Precise Documentation & Care Planning

Pacific Villas Post Acute in; Oceanside (CA); On-site; USD 60,000 - 78,000; Full time

Job summary

Pacific Villas Post Acute is seeking a qualified MDS Nurse (LVN/LPN) in California to coordinate and complete MDS assessments in compliance with federal and state regulations. You will ensure accurate resident documentation, support reimbursement processes, and partner with nursing, therapy, social services and dietary teams to promote quality outcomes.

Responsibilities include timely MDS/CAA completion, accurate care planning, regulatory compliance, and education of staff on documentation

Qualifications

• Current LVN/LPN license in the state of practice.
• Prior experience in long‑term care or skilled nursing facility.
• Knowledge of MDS 3.0, RAI process, and Medicare/Medicaid reimbursement guidelines.
• Strong organizational skills with attention to detail and accuracy.
• Ability to work collaboratively with interdisciplinary teams.
• Proficiency in electronic health records (EHR) systems.

Responsibilities

• Complete MDS assessments and CAAs within required timelines.
• Ensure accuracy of resident clinical documentation to support care planning and reimbursement.
• Maintain compliance with CMS, state, and facility guidelines.
• Collaborate with interdisciplinary team members to develop individualized care plans.
• Monitor resident progress and update care plans as needed.
• Participate in resident care conferences and quality improvement initiatives.
• Ensure MDS submissions meet regulatory requirements for Medicare/Medicaid reimbursement.
• Assist with audits and surveys by providing accurate documentation and reports.
• Stay current with regulatory changes impacting MDS and skilled nursing documentation.
• Provide education and guidance to staff on documentation standards and MDS requirements.
• Communicate effectively with residents and families regarding care planning.

Skills

MDS coordination

documentation accuracy

interdisciplinary collaboration

organizational skills

EHR proficiency

resident/family communication

Education

LVN/LPN license

Tools

EHR systems

Microsoft Office

Job description

Pacific Villas Post Acute is seeking a qualified MDS Nurse (LVN/LPN) in California to coordinate and complete MDS assessments in compliance with federal and state regulations. You will ensure accurate resident documentation, support reimbursement processes, and partner with nursing, therapy, social services and dietary teams to promote quality outcomes.

Responsibilities include timely MDS/CAA completion, accurate care planning, regulatory compliance, and education of staff on documentation