MDS Coordinator - RN (85745)

Regency Integrated Health Services•Brownsville, TX

36d•Onsite

About The Position

Wellsential Health is seeking an experienced MDS Coordinator, or skilled nursing facility nurse with strong attention to detail and a passion for resident-centered care, to support Ebony Lake Nursing and Rehabilitation Center. This role is an important part of the clinical leadership team and helps ensure accurate assessments, timely documentation, individualized care planning, and appropriate reimbursement for the care and services residents receive. As a purpose-driven nonprofit healthcare organization, Wellsential Health is committed to making wellness accessible for all Texans. Through skilled nursing, therapy and rehabilitation, and specialized memory care, we help residents live with dignity, comfort, and purpose. As a nonprofit, we reinvest in our people, residents, and communities - not shareholders. That means better support, opportunities for growth, and a workplace where team members can build a meaningful career in healthcare.

Requirements

Active Registered Nurse (RN) license in the state of Texas in good standing.
Must have successfully completed a RN program at an accredited vocational school, college, or university.
Minimum of two years of skilled nursing experience required.
Ability to review clinical documentation, identify gaps, communicate findings, and follow up with appropriate team members.
Strong organization, attention to detail, time management, communication, and follow-up skills.
Ability to work cooperatively with residents, families, nursing, therapy, business office, administration, physicians, and regional support teams.
Must complete and pass all RIHS-specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy.
Must be eligible to work in the United States.

Nice To Haves

MDS, RAI, Medicare, Medicaid, case-mix, care planning, or clinical reimbursement experience preferred.
Knowledge of MDS 3.0, RAI guidelines, PPS assessments, ARDs, care plans, and skilled nursing documentation preferred.

Responsibilities

Ensure accurate, timely, and complete MDS assessments, including Admission, PPS, Quarterly, Annual, and Significant Change assessments, in compliance with RAI guidelines.
Complete Medicare and Medicaid case-mix documentation to support appropriate reimbursement and help avoid default days or unassigned days.
Work closely with the Director of Rehab and interdisciplinary team to select optimal ARDs and support effective care planning.
Track and monitor Skilled and Managed Care residents to ensure continued eligibility, appropriate benefit utilization, and timely documentation.
Gather and communicate information for Managed Care reviews, physician certifications, and re-certifications per Medicare requirements.
Conduct regular audits of MDS coding, outcomes, validation reports, and supporting documentation to maintain accuracy and compliance with CMS policy.
Submit MDS assessments electronically, review error and validation reports, and address late, missed, or rejected assessments as needed.
Provide training and guidance to staff on the RAI process, MDS expectations, documentation requirements, and regulatory updates.
Serve as a clinical reimbursement resource for nursing, therapy, business office, administration, and interdisciplinary team members.
Actively participate in Case Management, Triple Check, Level of Care meetings, and support ADRs, audits, or additional documentation requests as needed.
Maintain communication with administration, regional support, and the business office regarding case mix, reimbursement impact, and clinical documentation quality.
Support resident-centered care planning by helping ensure resident preferences, care needs, and clinical changes are accurately reflected.
Complete other duties as assigned or needed

Benefits

Competitive pay
Major medical, dental, and vision insurance
Supplemental insurance options including critical illness, hospital, accident, short-term disability, and life insurance
Employee Assistance Program
Tuition Assistance Program
PayActiv Paycard - access your paycheck up to 2 days faster, plus pay advance options
Empower 401(k)
Holiday, Paid Time Off, and Bereavement benefits
Telehealth services with $0 copay
Shoes for Crews reimbursement
Employee Referral Program
Employee engagement activities
Storms of Life Fund for financial emergencies
Working Advantage discount marketplace