About The Position

The MDS Nurse (LVN/LPN) coordinates and completes Minimum Data Set (MDS) assessments in compliance with federal and state regulations. The role ensures accurate resident-care documentation, supports reimbursement processes, and collaborates with interdisciplinary teams to promote quality resident outcomes. The position has no supervisory requirements. The nurse works with nursing staff, therapy, social services, and dietary teams to gather resident information; contributes to individualized care planning; participates in resident care conferences and quality improvement initiatives; and communicates with residents and families about care planning. The role also supports audits and surveys, provides staff education and guidance on documentation standards and MDS requirements, and stays current on regulatory changes affecting MDS and skilled nursing documentation. The work environment is usually low to moderate in noise. The employee may occasionally lift or move up to 25 pounds and will regularly sit, stand, walk, talk, read, or hear. The role involves prolonged computer use and frequent use of office equipment. Travel by automobile or airline may be required.

Requirements

  • Current LVN/LPN license in the state of practice.
  • Knowledge of MDS 3.0, the RAI process, and Medicare/Medicaid reimbursement guidelines.
  • Strong organizational skills and attention to detail and accuracy.
  • Ability to work collaboratively with interdisciplinary teams.
  • Proficiency with electronic health records (EHR) systems.
  • Ability to read, write, speak, and understand English; read technical procedures and comprehend policy and procedure manuals; present information effectively and respond to questions; and relate information concerning a resident’s condition.
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations.
  • Ability to solve practical problems involving limited standardization and interpret written, oral, diagram, or schedule-based instructions.
  • Proficiency in Microsoft Suite products.
  • Maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
  • Ability to occasionally lift or move up to 25 pounds and perform the described physical demands of the role.

Nice To Haves

  • Prior experience in long-term care or a skilled nursing facility.

Responsibilities

  • Complete MDS assessments and care area assessments (CAAs) within required timelines.
  • Ensure resident clinical documentation is accurate and supports care planning and reimbursement.
  • Maintain compliance with CMS, state, and facility guidelines.
  • Collaborate with interdisciplinary team members to develop individualized care plans.
  • Monitor resident progress and update care plans as needed.
  • Participate in resident care conferences and quality improvement initiatives.
  • Ensure MDS submissions meet regulatory requirements for Medicare/Medicaid reimbursement.
  • Assist with audits and surveys by providing accurate documentation and reports.
  • Stay current with regulatory changes affecting MDS and skilled nursing documentation.
  • Work with nursing staff, therapy, social services, and dietary teams to gather resident information.
  • Provide staff education and guidance on documentation standards and MDS requirements.
  • Communicate with residents and families regarding care planning.
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