MDS Nurse

MDS Nurse – RN or LPN provides necessary and accurate documentation for resident and patient assessments and care plans in accordance with company standards and federal, state, and local regulations while serving as a team member and lead of the interdisciplinary team.

• Oversees the RAI process and submission process by validating and monitoring reports (EHDS).
• Plans, develops, organizes, and communicates assessment and care plan information to staff members to optimize resident and patient care.
• Oversees and completes the computer data entry and electronic submission process for MDS transmission (EHDS).
• Oversees Medicare and managed care logs, directing decision-making regarding insurance coverage, cut dates, and MDS schedules.
• Oversees skilled resident and patient statuses to maximize reimbursement.
• Oversees Medicaid resident statuses to maximize case mix scores.
• Participates in care conferences.
• Remains available during surveys and audits of the facility and/or its documentation.
• Assists with insurance appeals by reviewing documentation coded on MDS and verifying consistency.
• Attends all-employee and departmental meetings and in‑service training as scheduled.

• Ensures accurate and timely MDS, CAA, and Plan of Care documentation from the interdisciplinary team.
• Provides final review of MDS and Plan of Care documentation across all disciplines, offering education, advice, and authorization as needed.
• Maintains and communicates schedule of MDS and Plan of Care due dates.
• Keeps up to date on changes in documentation regulations, RUG categories, and legislation affecting MDS reimbursement issues.
• Attends committee meetings as requested.

• Maximizes reimbursement through team education, planning, and timely MDS assessments.
• Assists with reviewing and addressing issues related to quality measures, survey findings, quality assurance findings, and other findings and/or survey results as assigned.

• Nursing degree from an accredited college, university, or vocational school required.
• Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) required.

• Two years experience with MDS preferred.
• Two years experience as a nurse in a long‑term care facility required.
• Experience in rehabilitative and restorative nursing practices required.
• Knowledge of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long‑term care with special emphasis on documentation.
• Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
• Proficiency with electronic medical records (EMR) systems required.

• Must be able to read, write, speak, and understand the English language.

• Sitting – up to 8 hours/day
• Standing – up to 8 hours/day
• Walking – up to 6 hours/day
• Lifting, transferring, pushing, or pulling residents/patients or equipment/supplies – up to 50 pounds
• Subject to falls, burns from equipment, odors, and cuts – workday
• Subject to residents/patients with various disease processes – occasional
• May be exposed to infectious waste, disease, conditions, etc., including exposure to AIDS and Hepatitis B viruses – workday
• Risk Category for Exposure to Bloodborne Diseases – I