MDS RN

MDS & Assessment Coordination

Role Overview:

• Complete and coordinate all MDS assessments (admission, quarterly, annual, significant change).

• Ensure accuracy and timely submission of MDS assessments in compliance with CMS guidelines.

• Participate in interdisciplinary team meetings related to resident assessments.

• Care Planning

  • Collaborate with nursing, therapy, and other departments to develop individualized care plans.

  • Ensure care plans reflect residents’ current needs, goals, and preferences.

  • Update care plans based on assessment findings and changes in condition.

• Regulatory Compliance

  • Maintain compliance with all federal, state, and facility regulations related to MDS and care planning.

  • Prepare for surveys and audits by ensuring documentation is complete and accurate.

  • Stay updated on CMS/RUG/PDPM guidelines and changes.

• Clinical Documentation

  • Review medical records to ensure supporting documentation aligns with MDS coding.

  • Educate nursing staff on proper documentation practices.

  • Identify and correct discrepancies in clinical documentation.

• Reimbursement & Quality Measures

  • Monitor case mix index (CMI) and reimbursement trends.

  • Assist in maximizing reimbursement through accurate coding.

  • Track and report quality measures and outcomes.

• Collaboration & Communication

  • Serve as a liaison between nursing, therapy, and billing departments.

  • Communicate effectively with physicians and other healthcare professionals.

  • Participate in Quality Assurance and Performance Improvement (QAPI) activities.