MDS Director

Lake Country Health Services is a leading provider of skilled nursing and rehabilitation services and part of the North Shore Healthcare group, the largest post‑acute provider in the Upper Midwest with 70 centers throughout Wisconsin, Minnesota, Michigan, and North Dakota.

Responsible for the direction and administration of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payer program requirements. Ensures assessments accurately reflect the physical, mental, and psychosocial status of each resident; ensures RAI accuracy for optimal reimbursement and appropriate documentation.

• Oversee and coordinate development and completion of the resident assessment (MDS) in accordance with current Federal and state regulations.
• Serve as chairperson of the center Interdisciplinary Plan of Care team, leading the development of a comprehensive resident assessment and care plan for each resident.
• Ensure face validity of all Minimum Data Sets before electronic submission.
• Combine the timely electronic submission of all MDS.
• Conduct a monthly review of a random sample of the MDS to ensure accuracy and internal consistency with the medical record.
• Coordinate completion of each resident’s MDS in compliance with all State and Federal requirements.
• Calculate triggers and develop resident assessment protocols for initiation of care plan.
• Ensure MDSs are completed timely and accurately reflect each resident’s level of functioning in accordance with RAI manual guidelines.
• Ensure CNAs, nurses, and other disciplines have accurately completed required clinical record documentation timely.
• Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings.
• Make necessary referrals to nursing and therapy departments.
• Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures.
• Review and assess all resident information (including hospital records) to accurately complete MDS scoring.
• Train nursing staff on responsibilities for timely and accurate clinical record documentation.
• Ensure Medicare claims relating to MDS pending and therapy pending errors are corrected.
• Generate MDS audit reports as needed.
• Verify Medicaid billing accuracy and maintain accurate billing for HMO and VA residents.
• Compile monthly and quarterly Medicare/Medicaid default reports.
• Ensure MDS submission and report preparation, processing (CASPER, Validation Reports, etc.), and distribution.
• Identify MDS/Census and AR errors for corrections for center billing information.
• Provide training on clinical software and Care Tracker.
• Participate in interdisciplinary care team.
• Stay current with state and federal regulatory changes.
• Comply with laws and regulations applicable to position and act in accordance with Center’s Compliance Program.
• Attend and participate in in‑service training, performance improvement (“PI”) committees and other meetings as scheduled and directed.
• Follow center rules, dress and hygiene policies, and smoking policies.
• Use appropriate equipment and report any incidents or accidents of residents, staff or visitors to appropriate personnel.
• Report all hazardous conditions/equipment to Supervisor.
• Perform duties, which may include transportation of residents, as assigned in Center Disaster Plan.
• Use required protective equipment and follow infection control standards, policies and procedures.
• Know and support Resident Rights; help residents/patients exercise and protect their rights.
• Report resident/patient complaints to management; maintain confidentiality of resident/patient information.
• Follow and adhere to Center’s policies and procedures implementing HIPAA requirements for the privacy and security of protected health information.
• Use and/or disclose only the minimum amount of Protected Health Information necessary to complete assigned tasks.
• Report all suspected HIPAA violations to the Center Privacy Designee.

• Registered Nurse (RN) in good standing with the respective…