Regional MDS & Reimbursement Lead

Cantex Continuing Care Network; San Antonio (TX); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401(k) with company match

Generous PTO/Sick time

Job summary

Cantex Continuing Care Network is seeking a Regional MDS Coordinator to ensure compliant MDS 3.0 assessments across multiple long‑term care facilities in Texas. You will provide clinical oversight, validation of documentation, and guidance to support accurate Medicare/Medicaid reimbursement.

The role involves education, audit readiness, and ongoing process improvement, with opportunity to lead interdisciplinary teams and enhance case mix outcomes.

Qualifications

• Current RN license in good standing.
• 3–5 years of MDS/RAI experience in a long‑term care setting.
• Case Mix Management experience required.
• Strong knowledge of MDS 3.0, ICD‑10 coding, PDPM/RUG‑IV, and reimbursement systems.
• Current CPR certification.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office and clinical software systems.
• Ability to multi‑task and support multiple facilities simultaneously.
• Ability to lead, educate, and influence interdisciplinary teams.
• Strong organizational skills and attention to detail.

Responsibilities

• Review and coordinate Medicare and Medicaid Case Mix data across assigned facilities.
• Validate MDS coding, ICD‑10 coding, and RUG/PDPM groupers for accuracy and compliance.
• Conduct detailed documentation reviews to ensure accurate MDS 3.0 completion and appropriate reimbursement.
• Assess facility processes and evaluate compliance with company standards and long‑term care regulations.
• Provide education and training to licensed and non‑licensed staff on MDS, documentation, and regulatory requirements.
• Identify opportunities for improvement and recommend corrective actions.
• Support facilities during audits, surveys, and reimbursement reviews.
• Promote company philosophy, service excellence, and quality‑of‑care standards.
• Assist with additional duties and projects as assigned.

Skills

Communication skills

Multi-tasking

Leadership & training

Organization

Education

RN license

Tools

Microsoft Office

Clinical software systems

Job description

Cantex Continuing Care Network is seeking a Regional MDS Coordinator to ensure compliant MDS 3.0 assessments across multiple long‑term care facilities in Texas. You will provide clinical oversight, validation of documentation, and guidance to support accurate Medicare/Medicaid reimbursement.

The role involves education, audit readiness, and ongoing process improvement, with opportunity to lead interdisciplinary teams and enhance case mix outcomes.