MDS Coordinator; PT - Pine Valley

Pine Valley, 9802 Coldwater Rd, Fort Wayne, IN 46825, USA

This position is part-time: ~ 25 hours per week.

You are a clinically strong, detail-oriented nurse who is passionate about ensuring high-quality resident care through accurate assessment, documentation, and regulatory compliance. You bring a solid understanding of the MDS process, enjoy collaborating across disciplines, and are comfortable providing guidance and leadership within a long-term care environment. You thrive in a role that balances clinical judgment, regulatory knowledge, and organization - while always keeping residents’ needs at the center of your work.

As the MDS Coordinator, you will play a key role in ensuring residents receive the right care at the right time through comprehensive assessments, accurate MDS documentation, and strong interdisciplinary collaboration. You will partner closely with nursing leadership, clinical teams, and providers to support regulatory compliance and quality outcomes. Your work will directly impact resident care planning, reimbursement, and overall clinical excellence.

• Direct and coordinate the assessment, planning, implementation, and evaluation of resident care.
• Assess and evaluate the overall health status of prospective and current residents to determine appropriate services and level of care.
• Complete, update, coordinate, and transmit Minimum Data Sets (MDS) with appropriate supporting documentation.
• Conduct resident and/or family interviews to ensure accurate, thorough documentation.
• Complete MDS admission assessments, summary recommendations, and class-of-care forms for Administration.
• Perform ICD-10 coding for Medicare qualifiers, as applicable.
• Conduct routine audits of MDS transmissions to ensure accuracy and compliance.
• Conduct unit rounds to review documentation, identifying and reporting missing, incomplete, or incorrect data to the Director of Nursing Services (DNS) or appropriate coordinator.
• Identify and report significant changes in resident condition and ensure appropriate notifications are completed.

• Maintain current knowledge of state and federal regulations impacting resident care and facility operations.
• Ensure resident medical records meet all legal and regulatory documentation requirements.
• Complete and submit required regulatory forms and reports in a timely manner.
• Participate in state and federal surveys and inspections, including those conducted by the Health Facilities Division and State Board of Health.
• Provide leadership, guidance, and consultation to nursing staff related to policies, procedures, clinical monitoring, and resident care.
• Assist in developing and implementing nursing department objectives and resident care policies.
• Attend and participate in nursing and management meetings to share information and address care-related issues.
• Support management decisions and promote consistent, high-quality nursing practices.
• Foster strong, collaborative relationships across healthcare disciplines.
• Communicate with department leaders, attending physicians, and the Medical Director as needed to support resident care, required visits, and documentation.

• Assist with quality assurance activities, including unit observations and evaluation tools for nursing effectiveness.
• Support safety initiatives for residents and employees by identifying environmental risks and assisting with security procedures.
• Assist with TB testing and Hepatitis B vaccinations for employees and volunteers, as needed.
• Aid in budget planning and adherence related to nursing operations.
• Assume Data Entry Clerk responsibilities on a rotating basis when needed.
• Assist the Nurse Practitioner with data collection for prescription pre-authorizations.
• Serve in alternate staffing roles as necessary to meet operational needs.
• Perform other duties as assigned.

• Registered Nurse (RN) preferred, with a degree from an accredited, state-approved school of nursing and a current Indiana nursing license.
• Licensed Practical Nurse (LPN) with relevant and desired experience may be…