MDS Coordinator- RN/LVN (23334)

Job Location: Skilled Nursing at Windemere at Westover Hills - San Antonio, TX 78251 Position type: Full Time Job Summary The overall purpose of the MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid patients through the Patient Assessment Instrument (RAI) process. The role assists in the management of quality patient care on an ongoing basis in accordance with federal and state standards and as directed by the Administrator or Director of Nursing. Qualifications A current, valid Texas nursing license (RN or LVN) is required. At least 2 years of long‑term care experience preferred. Completion of a HHSC RUG Online Training acknowledgment certificate for nursing facilities. Completion of the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment. Effective communication, delegation, and leadership skills. Strong reading, writing, analysis, and interpretation skills. Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures. Ability to present information and respond to questions from department heads, customers (Patients, family members, physicians, etc.), and the public. Essential Functions Maintain compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations. Participate in the assessment of pre‑admission paperwork to ensure patient meets qualifying medical necessity determination. Attend stand‑up meetings every weekday morning. Coordinate the weekly reimbursement meeting with interdisciplinary team members to ensure proper Medicare and/or Medicaid reimbursement matches care delivery. Audit clinical records to ensure appropriate documentation for actual care delivery; educate and train staff on documentation guidelines. Obtain Medicare qualifying diagnoses on Medicare Part A patients and update diagnoses for each change. Initiate and update physician certifications for each Medicare Part A patient. Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid patient. Review the 24‑hour nursing report to capture possible changes in patient condition. Prepare for all Medicaid audits. Track patient benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing. Achieve at least budgeted rate expectations. Review Cantex Continuing Care Network clinical policies and procedures for abuse prevention; enforce responsibilities. Support and uphold the patient care management systems as well as the financial management systems. Assure patient/resident safety. Perform other duties and/or tasks as assigned. We are an Equal Opportunity Employer. Benefits include a 401k plan with match, CEU reimbursement, vacation, sick leave, holidays, medical, dental, and supplemental insurance plans, and a highly competitive compensation package. #J-18808-Ljbffr Cantex Continuing Care Network