MDS Nurse

Job Description

Job Description

Hilltop Health in Rutherfordton NC is looking for a qualified MDS Nurse for our facility. RN license preferred. MDS experience required.

We offer benefits for full time employees including health insurance, dental, vision, life and Paid Time Off. Salary commensurate with experience and qualifications as well.

An MDS (Minimum Data Set) Nurse specializes in assessing, monitoring, and documenting resident health in long-term care facilities to meet state/federal CMS compliance, with emerging AI tools increasingly assisting in data gathering, auditing, and optimizing reimbursement . Key responsibilities include creating care plans, managing Medicare/Medicaid assessments, and coordinating with interdisciplinary teams.

Core Responsibilities & Job Description

• Assessment & Compliance: Conduct comprehensive, accurate, and timely assessments (admission, quarterly, annual) according to CMS regulations.

• Documentation & Coding: Utilize clinical data to code the MDS, directly impacting facility reimbursement and patient care plans.

• Care Planning: Develop and update individualized care plans by collaborating with physicians, therapists, and families.

• Audit & Quality Assurance: Review medical records to ensure accuracy, compliance, and identify potential quality improvement opportunities.

• AI Integration: Use AI tools to assist in finding Non-Therapy Ancillary (NTA) points, reducing claim denials, and summarizing patient data.

Key Qualifications

• Licensure: Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license.

• Experience: Usually requires 1-5+ years in long-term care or skilled nursing.

• Skills: Extensive knowledge of the Resident Assessment Instrument (RAI) process, strong attention to detail, and proficiency in electronic health records

• Teamwork focus: Requires the ability to work with staff at all levels of hierarchy from housekeeping to Administration and family members.

• Teaching : Has the ability and mindset to teach employees how their care and documentation of such effects the MDS and resulting CMI and Star ratings.

Ascent Healthcare is looking for a highly qualified MDS Nurse, noted to have the listed abilities and qualifications above. This position is located in Rutherfordton, NC.

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