MDS Coordinator
Charlotte, NC
PRIDE Health
5x8 hrs, Days
Referral Bonus

Job Opportunity: MDS Coordinator (Registered Nurse)

Location: Charlotte, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse to serve as an MDS Coordinator in a Skilled Nursing Facility unit within a hospital setting. The unit provides short-term rehab (14-21 days) for residents requiring nursing and medical support, including PT/OT/ST as needed. The role focuses on completing MDS assessments (not a management role), care planning, insurance preauthorization, and utilization review.

Required Qualifications

• Valid RN license in North Carolina
• Bachelor of Science in Nursing
• Minimum 3 years of Skilled Nursing experience, including experience within the last year
• BLS issued by American Heart Association or American Red Cross
• Experience in Long Term Acute Care (LTAC) setting
• Experience in Rehabilitation setting
• Knowledge and experience with Admission Criteria, Appeals and Denials, Benefits Eligibility, Clinical Documentation Improvement
• Ability to determine Medical Necessity per Evidence-Based Guidelines
• Experience working with Physician Advisor roles
• Experience with Pre-Cert Review and Prior Authorizations

Required Skills

• Work Settings: Long Term Acute Care/Skilled Nursing, Managed Care, MDS Coordination, Rehab
• Processes: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care Coordination, Clinical Documentation Improvement, Medical Necessity Determination, Discharge Planning, Needs Assessment (DME, Home Health, Hospice, Skilled Nursing), Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, Quality Improvement/CASPER Review, Retrospective Review
• Regulatory: CMS, CPT coding and billing, Department of Health, ICD-10 Coding, MDS
• Professional Topics: Age-Specific/Population-Based Care
• Additional: Triple Check/Utilization Review

Preferred Qualifications

• Regulatory knowledge of DRG, HIPAA, NCQA, OBRA, RAPS
• Experience in Long Term Acute Care (LTAC)
• Certifications such as RAC-CT, ICD-10
• Ability to educate and provide resources to floor nursing staff

Work Details

• Shift: Day shift, 8:30 AM – 5:00 PM (5 days a week, 8-hour shifts)
• Hours: 40 hours per week
• Patient Ratio: 1:12
• Average Daily Census: 9 patients
• Unit Beds: 12
• Call/Floating/Weekend Requirements: None
• Scheduling: Per unit needs
• Orientation: 24 hours on unit after one week hospital orientation
• Scrubs: Navy blue (not provided)

Patient Population & Unit Details

• Patients range from generalized weakness to post-surgical care including surgical wounds and pressure ulcers
• Unit is a Skilled Nursing Facility within the hospital focused on short-term rehab
• MDS Coordinator responsibilities include MDS completion, baseline care plan development, care plan meetings, CAA completion, assessment submission and validation, certification/recertification oversight, diagnosis coding for admissions, education on MDS changes, and utilization review ensuring proper billing documentation
• Additional duties include admission referral review and insurance preauthorization support

Systems & Equipment

• Unit uses Pyxis, EPIC (including EPIC chat, Voalte, and Rover)
• No use of restraints on the unit

Compliance & Background Requirements

• Background checks required within 90 days of start, including local county, federal court, national criminal database, DOJ sex offender search, and education verification for highest degree earned
• Drug screening required within 30 days of start (10-panel, negative result)
• Physical exam within 1 year of start (or within 30 days if past positive TB)
• Fit testing required (N95 or PAPR training)
• Immunizations and titers required for: Rubeola (Measles), Mumps, Rubella, Varicella, Hepatitis B (or facility-specific declination), Flu vaccination or approved exemption
• TB testing: PPD, Qgold, or Tspot within 1 year; if positive, chest x-ray within 5 years and physician-signed TB questionnaire within 30 days of start
• Annual compliance and facility-specific education modules required
• References: 2 professional references within 3 years for travel acute care RNs

Additional Notes

• No call-offs or additional RTO allowed after booking; violations may lead to cancellation
• Interview with manager required prior to offer
• Candidate must complete facility-specific orientation and education checklists
• Candidate must complete Corp ID setup and I-Learn login within 24 hours of receiving credentials to avoid start delays

This position is ideal for an experienced RN with strong MDS assessment skills looking for a travel contract in a skilled nursing rehab setting with no call or weekend requirements.