MDS Resource Nurse — Quality & Compliance Leader

Rancho Seco Care Center; Sacramento (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Rancho Seco Care Center in NorCal (Stockton and Sacramento) seeks an experienced MDS nurse to oversee resident assessments and support quality initiatives across facilities.

You will lead the MDS process, provide education to MDS Coordinators, and collaborate with the Interdisciplinary Team to ensure accurate coding and high 5-Star quality ratings.

Active RN license is required; RAC certification is preferred, and strong EHR knowledge is essential for success in this role.

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

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.

Skills

Supervisory experience

MDS completion

EHR systems

Tools

EHR systems

Job description

Rancho Seco Care Center in NorCal (Stockton and Sacramento) seeks an experienced MDS nurse to oversee resident assessments and support quality initiatives across facilities.

You will lead the MDS process, provide education to MDS Coordinators, and collaborate with the Interdisciplinary Team to ensure accurate coding and high 5-Star quality ratings.

Active RN license is required; RAC certification is preferred, and strong EHR knowledge is essential for success in this role.