The MDS Nurse is responsible for coordinating and completing the Minimum Data Set (MDS) assessments in accordance with federal and state regulations. This role ensures accurate resident assessments, care planning, reimbursement optimization, and compliance within the Skilled Nursing Facility (SNF). The MDS Nurse collaborates closely with interdisciplinary teams to support quality resident care and regulatory standards.
Essential Duties & Responsibilities:
Complete and coordinate MDS assessments accurately and within required timeframes
Ensure compliance with CMS, Medicare, Medicaid, and state regulations
Develop, review, and update individualized resident care plans
Collaborate with interdisciplinary teams regarding resident assessments and clinical documentation
Monitor case mix index (CMI) and reimbursement opportunities
Review medical records to ensure documentation supports coding and care needs
Participate in quality assurance and performance improvement (QAPI) activities
Assist with survey preparedness and regulatory compliance initiatives
Educate nursing staff on documentation requirements and MDS processes
Track assessment schedules and maintain accurate records
Communicate effectively with residents, families, physicians, and healthcare staff
Qualifications:
Active RN or LPN license in good standing
Previous MDS experience in a Skilled Nursing Facility or Long-Term Care setting preferred
Strong understanding of RAI process, PDPM, CMS regulations, and Medicare guidelines
Knowledge of care planning and reimbursement systems
Excellent assessment, analytical, and organizational skills
Strong communication and leadership abilities
Experience with electronic medical records (EMR) systems preferred