MDS

Essential Duties and Responsibilities


* Coordinate the MDS assessment process from admission through discharge.


* Complete and/or coordinate accurate and timely MDS assessments, including required scheduled, significant change, and discharge assessments.


* Review clinical documentation to ensure the MDS accurately reflects the resident's current condition and services provided.


* Coordinate the interdisciplinary assessment process and obtain required documentation from nursing, therapy, dietary, social services, activities, and other departments.


* Maintain accurate MDS schedules and ensure assessments are completed within required regulatory timeframes.


* Participate in care plan meetings and ensure MDS findings are incorporated into individualized resident care plans.


* Monitor documentation for accuracy, completeness, and consistency with MDS coding.


* Communicate with physicians, nurse practitioners, therapists, nursing staff, and other healthcare professionals regarding resident status and documentation needs.


* Identify documentation discrepancies and work with appropriate departments to resolve them.


* Support accurate coding and reimbursement by ensuring that qualifying services and resident conditions are appropriately documented.


* Monitor Medicare and managed-care requirements related to MDS, reimbursement, and skilled services.


* Assist with Quality Measures and other regulatory reports as applicable.


* Maintain current knowledge of CMS regulations, RAI requirements, MDS coding guidelines, and applicable state requirements.


* Assist with preparation for state surveys, audits, and other regulatory reviews.


* Educate staff regarding MDS requirements, documentation standards, and changes in regulations.


* Maintain confidentiality of resident information in accordance with HIPAA and facility policies.


* Perform other duties as assigned by the Director of Nursing or Administrator.

Qualifications


* Current Registered Nurse (RN) or Licensed Practical/Vocational Nurse (LPN/LVN) license as required by state regulations.


* Previous long-term care or skilled nursing facility experience preferred.


* Previous MDS/RAI experience strongly preferred.


* Knowledge of CMS regulations, MDS 3.0, RAI requirements, and long-term care documentation practices.


* Strong clinical assessment, organizational, communication, and problem-solving skills.


* Ability to meet strict regulatory deadlines and manage multiple priorities.


* Proficiency with electronic medical records and MDS software.

Preferred Experience


* 1-3 years of long-term care/SNF nursing experience.


* MDS Coordinator or MDS Nurse experience.


* Experience with Medicare reimbursement, PDPM, care planning, and quality measures.


* Experience participating in state surveys and regulatory audits.

Physical and Work Requirements


* Ability to work effectively...