Mds Jobs

About The Position

Requirements

• Comprehensive understanding of CMS State Operations Manual, particularly F-tags
• Strong grasp of infection prevention and control, abuse prevention protocols, pressure injury staging, psychotropic medication monitoring and resident rights
• Familiarity with electronic health record and documentation best practices
• Strong auditing, analytical and critical thinking skills to identify gaps in compliance.
• Strong verbal and written communication skills to effectively educate and guide partners
• Training and facilitation skills to support knowledge transfer and behavior change.
• Proficiency in preparing survey readiness tools, tracking systems, and summary reports.
• Ability to foster a non-punitive, solutions-focused environment during mock survey (Compliance Verification)
• Ability to work both independently and collaboratively across multiple facilities
• Ability to manage competing priorities and travel to various facilities as needed.
• Ability to adapt quickly to changes in regulations and internal priorities.
• Graduate of an accredited educational institution with a degree in Nursing
• Minimum of 3-5 years of clinical experience in a long-term care or skilled nursing facility
• At least 2 years of leadership experience (Director of Health Services, Assistant Director of Nursing, Quality Nurse, or Clinical Consultant).
• Must possess an active Registered Professional Nursing License (multi-state)
• CPR Certification

Nice To Haves

• Continuing education in regulatory compliance, infection control, or Quality Assurance Performance Improvement is a plus.
• Prior experience conducting mock surveys or participation in state/federal survey processes (preferred)
• Familiarity with Plans of Correction, Quality Assurance Performance Improvement programs and compliance audits
• Infection Preventionist certification preferred, but not required
• Ability to analyze data, identify trends and implement improvement strategies
• Strong understanding of care coordination, patient experience and quality improvement principles
• Ability to lead and manage teams across multiple locations
• Communication, leadership, and interpersonal skills

Responsibilities

• Respond to facility-wide surveys aligned with CMS and state regulatory standards, including clinical, environmental, and life safety areas.
• Identify potential deficiencies and provide detailed reports with actionable recommendations for correction and improvement.
• Review clinical documentation (MDS, care plans, assessments, medication administration records) for accuracy and compliance.
• Coach and educate facility teams – including Administrators, Directors of Health Service, and Interdisciplinary teams on survey processes compliance expectations and documentation standards.
• Assist with the development and implementation of Plans of Correction and ongoing Quality Assurance Performance Improvement strategies.
• Monitor follow-up on previous survey deficiencies to ensure sustained compliance
• Provide real-time feedback, modeling, and mentoring during survey readiness walkthroughs.
• Participate in regulatory readiness calls, trainings, and clinical leadership meetings
• Participate in regulatory readiness calls, trainings, and clinical leadership meetings.
• Stay connected with CMS regulations, interpretive guidance, and best practices in long term care compliance