MDS Coordinator (PCC) LVN

Reports to: Administrator / Director of Nursing

What We Offer You

• Competitive pay

• Performance‑based bonus opportunities

• Comprehensive health, dental, and vision insurance

• Additional supplemental benefits (life insurance, disability, accident, etc.)

• 401(k) with company match

• Generous paid time off (PTO/Sick)

• Clear career growth and advancement opportunities

• A supportive and vibrant company culture

• Many more employee perks and benefits

Job Summary

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high‑quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

Qualifications

A current, valid Texas nursing license is required (RN, LVN) At least 2 years of LTC experience preferred. Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities. Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.

Ability to effectively communicate, direct, and at times, delegate tasks. Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, nursing/Patient progress notes, and nursing procedures.

Ability to effectively present information and respond to questions from department heads, customers, (Patients, family members, physicians, etc.) and the public.

Essential Functions

Maintains compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations. Participates in the assessment of pre-admission paperwork to ensure Patient meets qualifying medical necessity determination. Attends standup meetings every weekday morning.

Coordinates the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery. Audit the Clinical Record to ensure appropriate documentation for actual care delivery. Educates and trains staff on documentation guidelines.

Obtains Medicare qualifying diagnosis (es) on Medicare Part A Patients and updates diagnosis for each change in diagnosis. Initiates and updates the physician certifications for each Medicare Part A Patient. Completes all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid Patient.

Reviews the 24-hour Nursing report to capture possible change in condition of a Patient. Prepares for all Medicaid audits. Tracks Patient benefit days, validates daily census and coordinates information with Financial Manager to ensure accurate billing.

Achieves at least budgeted rates expectation. Has reviewed Cantex Continuing Care Network Continuing Care Network Clinical Policies and Procedures for Abuse Prevention and knows the employees responsibility to enforce it. Supports and upholds the Patient Care Management Systems as well as the Financial Management Systems.

Responsible for assuring patient/resident safety. Performs other duties and/or tasks as assigned.

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

Please visit cantexcc.com for more information on this location.

#Corp