Regional MDS Resource Nurse

Sweetwater Care; Visalia (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

Sweetwater Care is seeking an RN with expertise in the MDS process to manage RAI and care management from admission to discharge in a Skilled Nursing Facility. You will coordinate data entry, coding, and interdisciplinary coordination to ensure compliance with state, federal, and certification guidelines.

The role emphasizes accurate MDS coding, timely updates, and collaboration with the care team to maintain quality resident records. Experience with MDS 3.0 is preferred.

Qualifications

• Must be a graduate of an approved RN program and licensed to practice in the state.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility.
• Strong knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement.
• Thorough understanding of OBRA regulations and the Minimum Data Set (MDS).
• Knowledge of the care planning process.
• Experience with MDS 3.0 preferred.
• Maintains current MDS status and timely data entry in MDS systems.

Responsibilities

• Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments and care-plan reviews.
• Decide on proceeding with or deferring MDS assessments based on clinical criteria per the RAI User’s Manual.
• Assist with coordination of daily stand-up meetings and review resident care and assessment reference dates.
• Ensure compliance with federal and state regulations governing MDS processes.
• Monitor MDS and care plan documentation and maintain accurate medical records to support coding.
• Maintain current MDS status per guidelines and ensure timely data entry into MDS programs.
• Perform MDS coding using data from medical records, observations, and interviews.
• Other duties may be assigned as needed.

Skills

MDS 3.0 knowledge

Care planning

OBRA regulations

Medicare PPS

Medicaid reimbursement

MDS coding

Data entry

Education

RN license - licensed in state

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 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.