MDS Nurse RN

Ciena Healthcare seeks an MDS Nurse RN to coordinate and manage the Resident Assessment Instrument (RAI) process in our skilled nursing and rehabilitation center. This role completes and audits MDS assessments, ensures accurate diagnosis coding and care area assessments, and collaborates with interdisciplinary teams to develop person-centered care plans. The MDS Nurse RN monitors clinical outcomes, supports regulatory compliance, educates staff on documentation standards, and partners with leadership to optimize quality measures, reimbursement accuracy, and resident-centered, compassionate care.

Responsibilities

• Coordinate and manage the RAI/MDS process for assigned residents.
• Complete, review, and submit accurate and timely MDS assessments.
• Ensure correct ICD-10 coding and documentation to support reimbursement.
• Develop and update individualized, resident-centered care plans.
• Collaborate with the interdisciplinary team to review outcomes and care needs.
• Educate nursing staff on documentation standards and MDS requirements.
• Monitor quality measures and participate in QAPI initiatives.
• Maintain compliance with Medicare/Medicaid and state/federal regulations.
• Audit clinical records for accuracy and completeness.
• Support survey readiness and respond to regulatory inquiries regarding MDS.

Required Skills

• Resident Assessment Instrument (RAI)
• Minimum Data Set (MDS) 3.0
• ICD-10 coding
• Care planning
• Skilled nursing documentation
• Medicare/Medicaid regulations
• Quality measures & QAPIElectronic health records (EHR)
• Interdisciplinary team collaboration
• Regulatory compliance