MDS RN

Sequoia Vista at Kaweah Manor; Visalia (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

Sequoia Vista at Kaweah Manor seeks an experienced MDS/RAI Coordinator to manage timely MDS coding and care planning for residents in a skilled nursing facility. The role works with the interdisciplinary team to plan assessments, ensure regulatory compliance, and maintain accurate data entry in MDS programs.

The ideal candidate is licensed as an RN or LVN in California with 2+ years in a SNF and a strong understanding of Medicare PPS, Medicaid reimbursement, and OBRA regulations.

Qualifications

• Graduate of an approved RN/LVN program and licensed in California.
• Minimum 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Knowledge of Case-Mix, Medicare PPS, Medicaid reimbursement, OBRA, and MDS processes.
• Understanding of care planning and MDS 3.0 coding practices.

Responsibilities

• Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments.
• Ensure decisions on MDS and assessments meet clinical criteria and regulatory requirements.
• Coordinate daily stand up meetings to review resident care and assessment references.
• Comply with federal and state regulations for RAI process management.
• Monitor MDS and care plan documentation to support coding in medical records.

Skills

Interdisciplinary collaboration

MDS data management

Regulatory knowledge

Care planning

Documentation accuracy

Team coordination

Education

RN or LVN license (CA)

Tools

MDS software

Job description

POSITION DESCRIPTION:

Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.

QUALIFICATIONS:

• Graduate of an approved RN / LVN program and licensed in the state of practice, required.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
• Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.
• Experience with MDS 3.0, preferred..
• Maintains current MDS status of assigned residents according to state and federal guidelines.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice

RESPONSIBILITIES:

• Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies.
• Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User's Manual.
• Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s).
• Complies with federal and state regulations regarding completion and coordination of the RAI process.
• Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding.
• Maintains current MDS status of assigned residents according to state and federal guidelines.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.