MDS Coordinator; PCC RN​/LVN Windemere at Westover Hills

Job Details

Job Location:

Skilled Nursing at Windemere at Westover Hills - San Antonio, TX 78251
Position Type:
Full Time
Job Category:
Nursing

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Please visit  for more information on this location.

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. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards and as may be directed by the Administrator or Director of Nursing.

• A current, valid Texas nursing license is required (RN, 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 Patient meets qualifying medical necessity determination.
• Attends standup 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.
• Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.
• Obtain Medicare qualifying diagnosis(es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis.
• Initiate and update the physician certifications for each Medicare Part A Patient.
• Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.
• Review the 24-hour Nursing report to capture possible change in condition of a Patient.
• Prepare for all Medicaid audits.
• Track Patient benefit days, validate daily census and coordinate information with Financial Manager to ensure accurate billing.
• Achieve at least budgeted rates expectation.
• Review Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and uphold employee responsibility to enforce it.
• Support and uphold the Patient Care Management Systems as well as the Financial Management Systems.
• Responsible for assuring patient/resident safety.
• Perform 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.