MDS Coordinator RN Job at J ROSS LA in South Milwaukee

We are seeking an MDS RN Coordinator for a Skilled Nursing home in Milwaukee.

The MDS (Minimum Data Set) RN Coordinator ensures accurate and timely completion of MDS assessments and care plans in compliance with federal and state regulations. This role facilitates interdisciplinary collaboration to optimize resident outcomes and maximize facility reimbursement under Medicare and Medicaid programs.

Key Responsibilities

1. Coordinate and complete the MDS assessments for residents, ensuring accuracy and timeliness.
2. Schedule MDS assessments (initial, quarterly, annual, significant change, and discharge) to meet regulatory requirements.
3. Monitor the accuracy of coding in collaboration with the interdisciplinary team to ensure proper resource utilization group (RUG) or PDPM classification.

1. Lead the development and review of individualized resident care plans.
2. Work with the interdisciplinary team to identify and document resident care needs, goals, and interventions.
3. Conduct care plan meetings with residents, families, and staff to ensure alignment with resident needs and preferences.

1. Ensure compliance with state and federal guidelines, including CMS requirements.
2. Conduct audits and ensure the accuracy of documentation in clinical records.
3. Stay updated on changes in regulations, including RAI (Resident Assessment Instrument) guidelines.

1. Provide training to nursing staff on accurate documentation and MDS procedures.
2. Collaborate with other departments, including therapy, social work, and dietary services, to ensure comprehensive care delivery.
3. Act as a liaison between the facility and external agencies during audits or reviews.

1. Monitor and validate reimbursement accuracy under Medicare, Medicaid, and managed care systems.
2. Collaborate with billing and finance teams to ensure appropriate payment for services provided.

Qualifications

• Current, unencumbered RN license in the state of employment.
• Prior experience with MDS and care planning processes in a skilled nursing facility.
• Familiarity with Medicare, Medicaid, and managed care reimbursement systems, including PDPM.

• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal abilities.
• Proficiency in MDS software and electronic health record (EHR) systems.
• Understanding of clinical documentation requirements and regulatory standards.

• Certification in MDS (e.g., RAC-CT certification).
• Experience with quality improvement initiatives.