Travel Nurse RN - Med Surg
San Francisco, CA
Magnet Medical
5x8 hrs, Days

The Registered Nurse (RN) – MDS Coordinator is responsible for coordinating the completion of the Minimum Data Set (MDS) assessments for residents in long-term care or skilled nursing facilities. This role involves assessing, collecting, and analyzing resident data to ensure accurate and compliant documentation for care planning, reimbursement, and regulatory requirements. The MDS Coordinator plays a critical role in the care planning process and ensuring that the facility meets all federal and state regulations related to long-term care.

Key Responsibilities:

1. MDS Assessment and Coordination:

   • Conduct comprehensive and accurate MDS assessments for residents, ensuring all data collected meets the facility’s standards and regulatory requirements.
   • Ensure that assessments are completed timely (typically every 3, 6, or 12 months), and accurately reflect the resident’s current health status, including medical conditions, functional abilities, and psychosocial factors.
   • Work with interdisciplinary team members (e.g., physicians, social workers, therapists) to gather relevant information for the MDS assessment.
   • Update MDS assessments as needed based on changes in a resident’s condition, care plan, or regulatory requirements.

2. Care Planning and Collaboration:

   • Collaborate with the care planning team to develop individualized care plans based on the MDS assessments, ensuring that residents' needs are met and addressed appropriately.
   • Ensure care plans are reviewed and updated as needed, based on ongoing MDS assessments, changes in the resident’s condition, or feedback from the care team.
   • Provide support in implementing and monitoring care plan goals, ensuring consistency across various disciplines.

3. Regulatory Compliance:

   • Maintain an in-depth knowledge of federal and state regulations related to MDS assessments and long-term care documentation.
   • Ensure the facility remains in compliance with Centers for Medicare and Medicaid Services (CMS) guidelines, state regulations, and The Joint Commission (TJC) standards regarding the MDS process and care documentation.
   • Ensure timely submission of MDS assessments to the appropriate regulatory bodies for reimbursement and quality measures.

4. Documentation and Reporting:

   • Accurately document all MDS assessments, care plans, and updates in the electronic health record (EHR) or MDS software systems.
   • Generate and submit required reports for Medicare, Medicaid, or other payer programs, ensuring proper billing and reimbursement.
   • Maintain up-to-date documentation regarding each resident’s progress, care plan changes, and any modifications in their health status.

5. Quality Assurance and Monitoring:

   • Perform regular audits and reviews of MDS assessments to ensure that they are completed correctly, fully, and in compliance with all applicable regulations.
   • Monitor resident care outcomes to ensure that services provided are effective and that the facility meets required quality measures for health care services.
   • Participate in facility quality improvement initiatives, particularly those involving care plans, documentation, and MDS compliance.

6. Training and Education:

   • Provide training and support to nursing staff, care providers, and other team members on the MDS process and requirements.
   • Educate staff on how to accurately document resident care, complete MDS assessments, and use MDS-related software or systems.
   • Stay updated on regulatory changes, MDS guidelines, and best practices through ongoing education, professional development, and participation in relevant training.

7. Communication and Liaison:

   • Serve as the primary point of contact for MDS-related questions, concerns, or clarifications within the facility.
   • Communicate effectively with residents, families, and the interdisciplinary team regarding assessment outcomes, care planning, and any necessary changes to resident care.
   • Work closely with facility leadership and external stakeholders to ensure that all MDS assessments are conducted and processed according to regulations.

8. Resident and Family Advocacy:

   • Advocate for residents’ needs and rights, ensuring that the care plans and MDS assessments fully reflect the individual’s preferences, goals, and healthcare needs.
   • Participate in family meetings or conferences as necessary to explain the MDS process and how it impacts resident care and outcomes.