We are seeking a detail‑oriented and knowledgeable MDS Coordinator to manage and oversee the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI) process in our skilled nursing facility. This role ensures accurate assessments, compliance with regulatory guidelines, and supports optimal reimbursement under PDPM.
If you're an RN (or LVN, where permitted) with strong assessment and documentation skills, we’d love to speak with you.
Complete and coordinate MDS assessments in accordance with CMS RAI guidelines.
Ensure accuracy of all assessments, care plans, and supporting documentation.
Conduct resident interviews (BIMS, PHQ‑9, preference assessments).
Validate clinical information with nursing, therapy, social services, and other departments.
Ensure accurate diagnosis coding and PDPM classification.
Review clinical documentation to support skilled services and reimbursement needs.
Collaborate with therapy and nursing to verify ADLs, functional scores, and care needs.
Monitor reimbursement accuracy and identify improvement opportunities.
Develop, update, and maintain individualized resident care plans.
Lead interdisciplinary care plan meetings and involve residents/families.
Ensure care plans reflect accurate goals, preferences, and medical needs.
Maintain full compliance with state and federal SNF regulations.
Ensure timely completion and submission of MDS assessments.
Assist with surveys, audits, and quality reviews.
Participate actively in QAPI initiatives.
Serve as the primary contact for the MDS/RAI process.
Communicate assessment schedules and deadlines to all departments.
Educate staff on documentation standards and regulatory requirements.
Active RN license (LVN also accepted).
Experience in skilled nursing or long‑term care.
Strong understanding of MDS 3.0, RAI guidelines, and PDPM.
RAC‑CT or RAC‑CTA certification.
Experience with ICD‑10 coding and care plan development.
Familiarity with long‑term care EMRs (e.g., PointClickCare).
Strong communication, organizational, and analytical skills.
