MDS Director: Lead RAI, PDPM & Reimbursement
Mineral Point Health Services, Mineral Point, WI, United States
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Why MDS Nurses Choose Us? ·Supported MDS structure with strong interdisciplinary team collaboration ·Leadership that understands PDPM and reimbursement integrity ·Strong documentation culture supporting accurate MDS coding ·Regional clinical reimbursement resources and education ·Flexible scheduling options supporting work-life balance ·Stable organization with strong clinical leadership support Role Overview The MDS Director leads the Resident Assessment Instrument (RAI) process and ensures accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payer requirements. This role works closely with nursing leadership, therapy, and administration to ensure assessments accurately reflect each resident’s clinical condition while supporting regulatory compliance and reimbursement accuracy. Key Responsibilities ·Lead and coordinate the MDS / RAI assessment process ·Chair the interdisciplinary care planning team ·Ensure accurate and timely MDS completion and submission ·Validate documentation supporting PDPM coding and reimbursement ·Monitor Medicare and Medicaid billing accuracy ·Provide staff education on documentation best practices ·Stay current with CMS and regulatory updates Qualifications Required ·Registered Nurse (RN) in good standing ·Experience with MDS / RAI and PPS assessments Preferred ·2+ years MDS experience in skilled nursing or post-acute care Our Culture North Shore Healthcare operates under the values of Trust, Engagement, Competence, Respect, and Passion. Our teams are committed to delivering exceptional care while supporting professionals who want to grow, lead, and make a meaningful difference every day.
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Why MDS Nurses Choose Us? ·Supported MDS structure with strong interdisciplinary team collaboration ·Leadership that understands PDPM and reimbursement integrity ·Strong documentation culture supporting accurate MDS coding ·Regional clinical reimbursement resources and education ·Flexible scheduling options supporting work-life balance ·Stable organization with strong clinical leadership support Role Overview The MDS Director leads the Resident Assessment Instrument (RAI) process and ensures accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payer requirements. This role works closely with nursing leadership, therapy, and administration to ensure assessments accurately reflect each resident’s clinical condition while supporting regulatory compliance and reimbursement accuracy. Key Responsibilities ·Lead and coordinate the MDS / RAI assessment process ·Chair the interdisciplinary care planning team ·Ensure accurate and timely MDS completion and submission ·Validate documentation supporting PDPM coding and reimbursement ·Monitor Medicare and Medicaid billing accuracy ·Provide staff education on documentation best practices ·Stay current with CMS and regulatory updates Qualifications Required ·Registered Nurse (RN) in good standing ·Experience with MDS / RAI and PPS assessments Preferred ·2+ years MDS experience in skilled nursing or post-acute care Our Culture North Shore Healthcare operates under the values of Trust, Engagement, Competence, Respect, and Passion. Our teams are committed to delivering exceptional care while supporting professionals who want to grow, lead, and make a meaningful difference every day.
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