MDS & Restorative Coordinator, RN

Job Description

Job Description

MDS & Restorative Coordinator, RN

Sunny Vista Living Center

Position Summary

The Sunny Vista Living Center is seeking a knowledgeable, detail-oriented, and resident-focused Registered Nurse to lead our Resident Assessment Instrument (RAI) process and Restorative Nursing Program.

The MDS & Restorative Coordinator, RN is responsible for coordinating and overseeing the development, completion, accuracy, and ongoing updates of resident assessments and individualized care plans in accordance with state and federal regulations, CMS guidelines, and Cappella Living Solutions policies and goals.

This position serves as the primary nurse responsible for completing PPS and OBRA assessments and Care Area Assessments (CAAs) for long-stay residents while providing support for short-stay residents.

The ideal candidate brings strong clinical leadership, regulatory knowledge, organizational skills, and a passion for promoting quality resident care. This role works closely with nursing leadership and the interdisciplinary team to support clinical outcomes, regulatory compliance, appropriate reimbursement, and resident-centered care.

Essential Duties & Responsibilities

Resident Assessment & Regulatory Compliance

• Coordinate and oversee the community-wide Resident Assessment Instrument (RAI) process, including MDS assessments, Care Area Assessments (CAAs), care planning, and compliance with CMS, Medicare, and applicable regulatory requirements.
• Serve as the primary nurse for PPS and OBRA assessments and CAAs for long-stay residents, providing cross-coverage and support to the short-stay MDS Coordinator as needed.
• Manage assessment schedules and ensure timely, accurate completion and transmission of PPS, OBRA, Section GG, and other required MDS assessments.
• Monitor submission and validation reports and maintain accurate assessment records.
• Review and validate clinical documentation, MDS coding, diagnoses, and ICD-10 information to support accuracy, regulatory compliance, and appropriate reimbursement, including PDPM and Medicare requirements.
• Maintain current knowledge of the RAI Manual, CMS guidance, Medicare requirements, and applicable federal and state regulations.
• Assist with the development and revision of policies and procedures related to resident assessments and care planning.

Care Planning & Interdisciplinary Collaboration

• Collaborate with the interdisciplinary team to develop, review, update, and communicate individualized, resident-centered care plans.
• Ensure assessments and care plans accurately reflect resident needs, clinical conditions, skilled coverage, and reimbursement requirements.
• Participate in admissions assessments, managed care reviews, reimbursement reviews, and Triple Check meetings as needed.
• Support communication and collaboration among nursing, rehabilitation, dietary, social services, and other departments.

Restorative Nursing Program

• Oversee and coordinate the Restorative Nursing Program in collaboration with the Director of Rehabilitation.
• Ensure restorative services are provided according to resident needs, individualized care plans, physician/practitioner orders, community policies, and regulatory requirements.
• Monitor restorative program documentation, participation, and outcomes.
• Provide education, training, guidance, and support to restorative nursing staff and interdisciplinary team members regarding restorative programming, documentation standards, resident-specific interventions, and regulatory expectations.

Quality Assurance & Performance Improvement

• Conduct audits and quality reviews of assessments, reimbursement practices, clinical documentation, and restorative nursing outcomes.
• Identify trends and opportunities for improvement, implement corrective actions, and participate in Quality Assurance and Performance Improvement (QAPI) initiatives.
• Participate in surveys, audits, inspections, and regulatory reviews conducted by authorized agencies.
• Assist with the development and implementation of corrective action plans as needed.

Administrative & Leadership Responsibilities

• Perform nursing and administrative duties, including reports, audits, evaluations, forms, and other documentation as assigned.
• Maintain and update 802/Matrix information.
• Participate in nursing leadership responsibilities, including rotating managerial on-call coverage as assigned.
• Perform nursing functions when required.
• Perform other duties as assigned.

Basic Qualifications & Experience

• Current, unencumbered Registered Nurse (RN) license in the state of operation.
• RN Assessment Coordinator (RNAC) certification preferred, or ability to obtain certification within six months of hire.
• Minimum of two (2) years of nursing management experience in a long-term care or skilled nursing setting preferred.
• Prior MDS/RAI experience and/or Restorative Nursing experience strongly preferred.
• Demonstrated knowledge of clinical practices, the RAI process, restorative nursing, and applicable state and federal regulations governing skilled nursing communities.
• Ability to independently assess situations, solve problems, and exercise sound clinical judgment.
• Knowledge and skills necessary to provide and coordinate care appropriate to the age-related needs of the residents served.
• Proficiency with electronic health records (EHR), MDS software systems, and Microsoft Office applications, including Word, Outlook, and Excel.
• Ability to work a flexible schedule and participate in rotating managerial on-call coverage.
• Excellent written and verbal communication skills, with the ability to read, write, and speak English.
• Strong organizational, leadership, interpersonal, and customer service skills.

Working Conditions & Physical Requirements

• Light physical effort required, including handling objects weighing up to 20 pounds occasionally and/or up to 10 pounds frequently.
• Ability to sit, stand, bend, and move intermittently throughout the workday.
• Ability to work effectively in an environment with frequent interruptions and changing priorities.
• Frequent communication and interaction with residents, family members, visitors, and members of the interdisciplinary team.

Why Join Sunny Vista?

At the Sunny Vista Living Center, we believe quality care begins with strong clinical leadership, teamwork, and a commitment to the residents we serve. This leadership opportunity allows you to make a meaningful impact by supporting clinical excellence, regulatory compliance, resident-centered care, and the continued success of our community.

Join our team and help us make a difference in the lives of those we serve!