MDS NURSE RN →

Optalis Healthcare; Grosse Pointe, Northern (MI, KY); Hybrid; USD 65,000 - 85,000; Full time

Job summary

Optalis Healthcare is seeking a diligent MDS Coordinator to manage RAI/MDS data, schedules, and interdisciplinary communications. The role focuses on ensuring accurate assessments, regulatory compliance, and timely Medicare review to support resident care.

Responsibilities include preparing RAI, coordinating schedules, and maintaining MDS software, while collaborating with nursing, therapy, and clinical staff to optimize care plans and documentation.

Qualifications

• Experience with RAI/MDS processes in long-term care facilities.
• Strong communication across care teams and disciplines.
• Ability to review medical documentation for accuracy and compliance.

Responsibilities

• Prepare and manage RAI/MDS data and schedules.
• Coordinate completion of RAI per state and federal guidelines.
• Notify team with assessment dates and distribute schedules.
• Assist with RAI completion and data input.
• Adjust assessment schedules to optimize RUG scores.
• Screen MDS for accuracy before finalizing and signing.
• Support Medicare review and ensure appropriate coverage.

Skills

RAI

MDS coordination

Interdisciplinary communication

Tools

RAI/MDS software

Job description

Resident Assessment Instrument (RAI), the electronic transmission of RAI data to the state Bulletin Board in accordance with State and Federal regulations and facility policies.

• Facilitates communication between the Interdisciplinary Team.
• Ongoing education of those preparing the M.D.S.

• RAI Preparation and Process
• Schedules completion of RAI following State and Federal guidelines.
• Notifies Interdisciplinary Team members with distribution of schedules showing dates of assessment schedules.
• Assists in completion of RAI as needed.
• Assists with data input into the RAI computer system.
• Modification to assessment schedule to ensure appropriate RUG score for each individual resident.
• Screens each Minimum Data Set (MDS) for accuracy before finalizing, locking, and signing.

Medicare Review and Coverage

• Assist Interdisciplinary staff with Medicare review via chart audit in order to ensure that:
• Change of condition RAIs are initiated when appropriate;
• Review chart documentation, including nursing and ancillary progress notes, care plans, and CNA notes, reflects the need for the care and services the resident receives;
• Medicare coverage is discontinued when resident no longer meets criteria.

Other Duties

• Ensures RAI/MDS software is functioning properly and is in contact with software vendor to ensure that facility is using the most current version of software.
• Clarification of Medicare Certification/Re-Certification forms for different disciplines. Assist with the completion and maintenance of the Resident Roster and the Census and Condition Reports.

Performs other duties incidental to the position and as delegated by the MDS Coordinator.

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