MDS Coordinator (PCC) LVN (24970)

MDS Coordinator (PCC) LVN

Skilled Nursing at Edgemere Estates - El Paso, TX 79935

Overview

Position Type Full Time Category Nursing

Description

$10,000 SIGN-ON BONUS!!!

Location: El Paso, TX

Schedule: Full-time role with standard business hours

Reports to: Administrator / Director of Nursing

What We Offer You

• Competitive pay
• Performance-based bonus opportunities
• Comprehensive health, dental, and vision insurance
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (PTO/Sick)
• Clear career growth and advancement opportunities
• A supportive and vibrant company culture
• Many more employee perks and benefits

Job Summary

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high-quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

Qualifications

Current, valid Texas nursing license (RN or LVN)

At least 2 years of long-term care experience preferred

Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities

Must complete AANAC RAI Certification within 1 year of employment

Strong communication, documentation, and delegation skills

Ability to read, write, analyze, and interpret clinical documentation, regulations, and technical procedures

Ability to write reports, business correspondence, nursing progress notes, and care-related documentation

Ability to present information effectively to department heads, residents, families, physicians, and regulatory partners

Essential Functions

Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and published interpretations

Review pre-admission paperwork to ensure qualifying medical necessity

Attend daily weekday stand-up meetings

Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure reimbursement aligns with care delivery

Audit clinical records to ensure documentation accuracy; educate and train staff on documentation guidelines

Obtain and update Medicare-qualifying diagnoses for Medicare Part A residents

Initiate and update physician certifications for Medicare Part A residents

Complete all MDS assessments within required timeframes for Medicare and Medicaid residents

Review 24-hour nursing reports to identify changes in resident condition

Prepare for Medicaid audits and ensure documentation readiness

Track resident benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing

Achieve budgeted reimbursement rate expectations

Uphold Patient Care Management Systems and Financial Management Systems

Ensure resident safety and compliance with Abuse Prevention policies

Perform other duties as assigned