MDS Coordinator (Healthcare)

General Purpose:
The primary purpose of this position is to coordinate and oversee the completion of the Minimum Data Set (MDS) assessments and care plans to ensure accurate and timely documentation for regulatory compliance and reimbursement. The MDS Coordinator also provides direct nursing care to residents and supervises nursing assistants in accordance with federal, state, and local regulations.

Essential Duties and Responsibilities:

MDS Coordination and Care Planning:

• Administer and oversee resident assessments, set assessment schedules, and ensure accurate and timely completion.
• Coordinate the development and implementation of care plans in accordance with regulatory requirements.
• Initiate Medicare coverage for qualifying residents and issue denial notices as needed.
• Remain up-to-date on Medicare and Medicaid regulations and documentation requirements.
• Assist with MDS coding and submission, including RAPs and Triggers.

Clinical and Administrative Leadership:

• Direct the daily activities of nursing assistants in compliance with facility policies and regulatory guidelines.
• Maintain and update procedure manuals and job descriptions as necessary.
• Participate in planning services, programs, and quality assurance initiatives.
• Admit, transfer, and discharge residents; complete required forms and reports.
• Collaborate with interdisciplinary teams to ensure comprehensive care.

Charting and Documentation:

• Maintain accurate and timely charting for admissions, transfers, and discharges.
• Transcribe physician orders and ensure implementation.
• Record incident and accident reports per policy.
• Document changes in diet orders and notify dietary services.
• Ensure all entries are signed, dated, and compliant with documentation standards.

Medication Administration:

• Prepare and administer medications per physician orders.
• Maintain secure and accurate records of narcotics and other medications.
• Dispose of medications per facility protocols.

Personnel Management:

• Participate in staff evaluations and make staffing recommendations.
• Support orientation and supervision of new personnel.
• Conduct regular team meetings to promote communication and performance improvement.

Resident Care and Supervision:

• Support and supervise CNAs in delivering direct resident care.
• Make rounds to evaluate resident condition and care compliance.
• Communicate with physicians, families, and residents regarding health changes.
• Ensure residents' dignity, safety, and comfort are maintained.

Staff Development:

• Support training programs related to infection control, safety, abuse prevention, and other regulatory topics.
• Mentor staff in best practices and facility procedures.

Safety and Infection Control:

• Ensure compliance with all safety protocols and PPE use.
• Participate in infection control planning and incident reporting.
• Monitor cleanliness and sanitation in resident care areas.

Equipment and Supplies:

• Ensure adequate stock and safe use of nursing supplies and equipment.
• Report equipment issues or hazardous conditions.

Qualifications:

Education and Experience:

• Graduate of an accredited LPN/LVN program.
• Active, unencumbered license to practice as an LPN/LVN in this state.
• Experience with MDS and care planning strongly preferred.

Skills and Abilities:

• Proficient in EMR systems; PCC experience preferred.
• Ability to assess resident needs and develop care plans.
• Strong communication, organizational, and problem-solving skills.
• Knowledge of nursing and medical practices, laws, and regulations.
• Ability to supervise, lead, and train other personnel.

Certifications:

• Current CPR certification.
• Compliance with continuing education/licensure requirements.

Physical Demands:

• Must be able to lift 25 lbs. and move intermittently throughout the workday.
• Must be able to cope with emotional stress and relate to the elderly and disabled.
• Must be able to see, hear, and communicate effectively.

Work Environment:

• Work is performed in resident care areas and nursing stations.
• Subject to interruptions, infectious diseases, and emergency call-backs.
• May be exposed to chemicals, odors, and air contaminants.

Disclaimer: This job description is not intended to be an exhaustive list of all duties and responsibilities. Management reserves the right to modify duties to reflect business needs.