MDS Coordinator-LVN

Job Overview

Job Location:

Skilled Nursing at Renaissance Care Center - Gainesville, TX 76240

Position Type:
Full Time

Job Category:
Nursing

Sign‑on Bonus: $5,000.00

The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid patients through the Patient Assessment Instrument (RAI) process. The role assists in the management of quality patient care on a continuing basis in accordance with federal and state standards and as directed by the Administrator or Director of Nursing.

• Competitive pay
• Comprehensive health plan options, dental plan options, and vision coverage
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (Vacation/Sick/Holiday) for full‑time positions
• Career growth and advancement opportunities
• A company culture that is committed to compassionate care
• Complementary uniforms and many more perks and benefits

• A current, valid Texas nursing license is required (RN or LVN)
• At least 2 years of LTC experience preferred
• Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities
• Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment
• Ability to effectively communicate, direct, and at times, delegate tasks
• Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
• Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures
• Ability to effectively present information and respond to questions from department heads, customers (Patients, family members, physicians, etc.) and the public

• Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations
• Participates in the assessment of pre‑admission paperwork to ensure the patient meets qualifying medical necessity determination
• Attends stand‑up meetings every weekday morning
• Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery
• Audits the clinical record to ensure appropriate documentation for actual care delivery; educates and trains staff on documentation guidelines
• Obtains Medicare qualifying diagnoses on Medicare Part A patients and updates diagnosis for each change in diagnosis
• Initiates and updates the physician certifications for each Medicare Part A patient
• Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid patient
• Reviews the 24‑hour nursing report to capture possible change in condition of a patient
• Prepares for all Medicaid audits
• Tracks patient benefit days, validates daily census and coordinates information with the financial manager to ensure accurate billing
  
  Achieves at least budgeted rates expectation
• Has reviewed Cantex Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employee’s responsibility to enforce it
• Supports and upholds the patient care management systems as well as the financial management systems
• Responsible for assuring patient/resident safety
• Performs other duties and/or tasks as assigned

We are an equal opportunity employer. We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans as well as a highly competitive compensation package.