MDS Resource Nurse

Sweetwater Care; Stockton (CA); On-site; USD 85,000 - 115,000; Full time

Job summary

Sweetwater Care in California seeks an experienced MDS nurse to support facilities in NorCal (Stockton and Sacramento). The role focuses on leading MDS processes, quality improvement, and reimbursement compliance across the organization.

You will provide education to MDS Coordinators, review assessments for coding accuracy, and help facilities achieve 5-Star quality ratings through QAPI participation and timely RAI completion.

Qualifications

• Must hold an active RN license in the state.
• 3 years’ RN experience with supervisory duties preferred.
• Experience with MDS completion and processes.
• RAC Certification preferred.
• Understanding of EHR systems and related technology.

Responsibilities

• Oversee facility-based resident assessment processes per state and federal rules.
• Audit MDS assessments and supporting documentation for accuracy.
• Review medical records for documentation supporting coded items; educate as needed.
• Interpret regulations and support problem solving for care-based reimbursement and quality reporting.
• Provide consultative training to MDS Coordinators to coordinate resident-centered care.
• Assist Interdisciplinary Team with Care Planning.
• Guide coding related to the Resident Assessment Instrument (RAI).
• Support facilities to achieve 5-Star Quality Measure ratings.
• Monitor RAI timeliness and data accuracy per regulatory standards.
• Identify trends to optimize quality of care and perform Root-Cause-Analysis.
• Review data to ensure accurate diagnosis coding per PDPM.
• Provide ongoing education and support for quality of care delivery.
• Attend and support Quality Assurance Performance Improvement Programs (QAPI).
• Advocate for MDS Coordinators with facility leadership and IDT.

Skills

Registered Nurse license (RN)

MDS completion

Supervisory experience

Problem solving

Staff training/education

Education

RAC Certification preferred

Tools

EHR systems

Job description

Position Description

We are looking for an outstanding MDS nurse to work closely with our facilities in NorCal- Stockton and Sacramento. This consultant will be responsible for providing expertise, leadership, modeling, and support for organization-wide initiatives. He/she will also work on the implementation and or evaluation of the facility’s Quality Measurement and Performance Improvement program to ensure quality of resident care outcomes.

Qualifications

• Must possess a current, active license to practice as a registered nurse in this state.
• 3 years’ experience as a registered nurse, one of which includes supervisory experience, preferred.
• Experience with MDS completion and process.
• Resident Assessment Coordinator (RAC) Certification is preferred.
• Understanding of computer technology, including Electronic Health Record (EHR) systems

Duties and Responsibilities

• Overseeing assigned facilities’ comprehensive resident assessment process in accordance with state and federal regulations.
• Auditing completion of MDS assessments and any supporting assessments or clinical documentation.
• Reviewing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education as necessary.
• Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving regarding care-based reimbursement systems and quality reporting program.
• Provide consultative support and training to MDS Coordinators within the assigned facilities, to coordinate and guide resident-centered care.
• Assist the Interdisciplinary Team with Care Planning.
• Provide additional guidance related to clinical documentation and coding as it relates to the Resident Assessment Instrument (RAI).
• Provide support and guidance to assist assigned facilities to achieve and maintain 5-Star Quality Measure Rating.
• Auditing and monitoring of RAI timeliness and accuracy of information in furtherance of regulatory standards.
• Support resident care by identifying trends and developing processes and action plans. Must be able to perform and present Root-Cause-Analysis.
• Reviews and audits data to support assigned facilities’ obligation to accurately capture diagnosis codes in accordance with PDPM guidelines.
• Provide on-going education, support, and make recommendations to optimize quality of care delivery.
• Attend and support assigned facilities’ Quality Assurance Performance Improvement Programs (QAPI).
• Work as an advocate for MDS Coordinators in relationship to the facility leadership, and the Interdisciplinary Team (IDT).
• Maintain the most current knowledge of State and Federal guidelines and regulations related to the RAI and reimbursement.
• The Regional MDS Nurse will assist the facility to prepare for the surveys and should be available to assist during the survey.

Competitive Pay, Great Work Environment!