Description
A Senior MDS Coordinator for multiple long-term care facilities oversees the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) processes across multiple sites, ensuring regulatory compliance, accurate clinical reimbursement, and staff training.
Job Title: Senior Multi-Facility MDS Coordinator
Position Summary
The Senior MDS Coordinator provides high-level oversight, auditing, and leadership for the MDS and RAI processes across assigned multiple long-term care facilities. This role ensures timely completion and electronic transmission of assessments, maximizes appropriate Medicare/Medicaid reimbursement, mentors’ facility-level MDS staff, and collaborates with interdisciplinary teams (IDT) to drive quality measures and clinical outcomes.
Key Responsibilities
Multi-Facility Oversight & Auditing
- MDS Schedule review along with review of completed MDS prior to submission to ensure maximization and accuracy.
- Conduct regular in person site visits and audits across assigned facilities to evaluate and reinforce RAI, MDS, and Prospective Payment System (PPS) processes working closely with the IDT team.
- Conduct weekly Zoom or Teams meeting with assigned facilities Morning Meetings, GG Meetings, MDS Meetings, Etc
- Review validation reports and evaluates Z-Connect / Point Right prior to MDS submission
- Monitor case-mix index (CMI) scores, therapy utilization, and PDPM (Patient-Driven Payment Model) accuracy across all locations.
Does not get involved with a facility’s day to day operations – which includes but not limited to staffing the building or staffing questions, Medical Provider questions or consultation, etc. These will be directed back to the facility Administrator or DON
Leadership & Training
- Orient, mentor, and train facility-level MDS Coordinators, Directors of Nursing, and IDT members on changing CMS guidelines, coding practices, and best workflows.
- Coordinate regular educational sessions for nursing and administrative staff regarding how documentation impacts reimbursement and quality metrics.
Quality & Regulatory Compliance
- Oversee compliance with federal, state, and local long-term care regulations (OBRA and state-specific guidelines).
- Participate in facility Quality Assurance and Performance Improvement (QAPI) committees, triple-check meetings, and utilization reviews.
Reports To: Regional Clinical Reimbursement Nurse
Location: Multi-site / Regional travel required
Position Type: Full-Time
Qualifications & Requirements
- Education: Graduate of an accredited School of Nursing; Registered Nurse
- Licensure: Current, active, unencumbered Registered Nurse (RN) licensed in NY
- Experience: Minimum of 2-5 years of clinical nursing experience or Clinical Social Work experience in a long-term care/skilled setting, with at least 2–3 years dedicated specifically to MDS
- Travel: Ability to travel regularly between local long-term care facilities.
- Technical Skills: proficiency in MDS 3.0, ICD-10 coding, PDPM guidelines, and electronic health record (EHR) systems (e.g., PointClickCare)
Core Competencies
- Advanced knowledge of federal and state skilled nursing regulations.
- Strong leadership, mentoring, and conflict-resolution abilities.
- Excellent time-management and multi-facility organizational skills.
- Effective written and verbal communication across interdisciplinary teams.