RN Clinical Case Manager: MDS & Care Coordination

SLP Operations, LLC; Abilene (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

SLP Operations, LLC is seeking a licensed nurse (RN or LVN) to coordinate RAI/ MDS processes in a long-term care facility. You will work with the interdisciplinary team to ensure compliant assessments, care planning, and accurate documentation for Medicare/Medicaid reimbursement.

The role requires familiarity with MDS 3.0, regulatory requirements, and strong collaboration with residents, families, and regulatory agencies. Flexible hours and on-call shifts may be involved.

Qualifications

• Must hold an RN or LVN license in good standing.
• Experience with MDS, RAI, and care planning preferred.
• Strong interpersonal skills and ability to collaborate with the IDT and regulatory agencies.
• Proficiency with Microsoft Office and Outlook.
• Ability to work long or irregular hours, including evenings and on-call shifts.

Responsibilities

• Manage the RAI process from admission through discharge for compliant Medicare/Medicaid reimbursement.
• Submit accurate MDS assessments per the MDS 3.0 User’s Manual.
• Review MDS analytics with the interdisciplinary team and address rejected assessments.
• Conduct daily rounds for Medicare Part A and Managed Care residents and update care plans.
• Ensure daily nursing documentation and observation notes for eligible residents.
• Coordinate physician certification and re-certification for Medicare Part A and Managed Care residents.
• Attend PPS, care plan, and reimbursement meetings to identify changes affecting status or reimbursement.

Skills

Interpersonal skills

Team collaboration

Flexibility

Attention to detail

Education

RN/LVN license

MDS/care planning experience preferred

Tools

Microsoft Office

Outlook

Job description

SLP Operations, LLC is seeking a licensed nurse (RN or LVN) to coordinate RAI/ MDS processes in a long-term care facility. You will work with the interdisciplinary team to ensure compliant assessments, care planning, and accurate documentation for Medicare/Medicaid reimbursement.

The role requires familiarity with MDS 3.0, regulatory requirements, and strong collaboration with residents, families, and regulatory agencies. Flexible hours and on-call shifts may be involved.