MDS RN: Care Coordination & Reimbursement

Sweetwater Care; Visalia (CA); On-site; USD 75,000 - 105,000; Full time

Job summary

Sweetwater Care is seeking a registered nurse/licensed vocational nurse with MDS 3.0 expertise to drive the RAI process from admission through discharge. You will coordinate interdisciplinary assessments, ensure compliance with OBRA and PPS/Medicaid requirements, and maintain accurate MDS coding and data entry.

The role requires collaboration with the care team, adherence to federal/state regulations, and ongoing documentation updates in MDS systems.

Qualifications

• Graduate of an approved RN/LVN program and licensed in the state of practice.
• 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.

Skills

RN/LVN license

MDS 3.0 knowledge

Care planning

Medicare/Medicaid reimbursement

Data entry

Education

RN/LVN program graduate

Tools

MDS programs

EMR

Job description

Sweetwater Care is seeking a registered nurse/licensed vocational nurse with MDS 3.0 expertise to drive the RAI process from admission through discharge. You will coordinate interdisciplinary assessments, ensure compliance with OBRA and PPS/Medicaid requirements, and maintain accurate MDS coding and data entry.

The role requires collaboration with the care team, adherence to federal/state regulations, and ongoing documentation updates in MDS systems.