MDS Coordinator

Red Cliffs Health and Rehab•St. George, UT

3d•Onsite

About The Position

Red Cliffs Health and Rehab is hiring a full-time MDS Coordinator at its skilled nursing and rehabilitation facility in St. George, Utah. The facility aims to provide high-quality care that maximizes each patient's functional independence and supports safe discharge to the next level of care. The organization describes itself as people-first and guided by the motto “leading with integrity, empowering people, delivering outcomes.” The MDS Coordinator assigns ICD-10-CM diagnosis codes, manages Medicare Part A and insurance cases, assesses residents’ needs, and coordinates personalized, resident-driven care. The role oversees the patient assessment process, including schedules and timely, accurate completion; transmits assessments to the Department of Health and reviews results to recommend policy and procedural changes to management. The coordinator also oversees care planning in accordance with regulatory requirements and ensures appropriate facility resources are available for effective patient care. The position creates schedules for Medicare and Medicaid processes, starts Medicare coverage for newly qualified patients, issues denial letters as applicable, monitors regulatory changes affecting Medicare coverage, and helps determine documentation needed for Medicaid reimbursement.

Requirements

Minimum associate degree; a bachelor's degree is preferred.
Registered Nurse in good standing.
Extensive knowledge of MDS.
One year of MDS experience in a skilled nursing or long-term care facility.
Extraordinary attention to detail and ability to direct others and manage schedules.
Excellent communication skills and ability to work cooperatively as a team member.
Proficiency in MDS 3.0.
Demonstrable working knowledge of relevant state and federal regulations.
Resident Assessment Coordinator certification.

Nice To Haves

Bachelor's degree preferred.

Responsibilities

Assign ICD-10-CM diagnosis codes to residents’ medical conditions.
Manage Medicare Part A cases and insurance case management.
Assess nursing home residents’ needs and coordinate personalized, resident-driven care based on those assessments.
Oversee the patient assessment process, establish assessment schedules, and ensure assessments are accurate and completed on time.
Make recommendations, transmit assessments to the Department of Health, and review results to recommend policy and procedural changes to management.
Coordinate patient care plans in accordance with regulatory requirements.
Ensure appropriate facility resources are available and patient care is delivered effectively.
Create schedules for Medicare and Medicaid processes.
Start Medicare coverage for newly qualified patients and send denial letters as applicable.
Keep current on regulatory changes in Medicare coverage and help determine documents needed for Medicaid reimbursement.