Regional MDS Specialist
Skills
- Proven excellence in MDS completion, coordination, ADR completion and documentation
- Strong teaching and presentation skills for individual and group education
- In-depth knowledge of CMS regulations, PDPM, Medicare, Medicaid and managed care
- Experience conducting audits and analyzing reimbursement/quality data
- Excellent written and verbal communication and interpersonal skills
- Proficiency with EMR systems (experience with PointClickCare/Optimus preferred)
- Detail-oriented with strong time management and prioritization
- Customer service mindset and good judgment when interacting with residents and families
Responsibilities
- Partner with location leadership and MDS nurses to meet/exceed MDS goals and critical success factors (reimbursement accuracy, clinical coding, public quality measures).
- Provide one-on-one and group education on MDS coding, documentation, Medicare/Medicaid, managed care, Quality Measures, and PDPM.
- Perform routine audits of MDS coding, documentation, and care plans; identify and correct opportunities.
- Analyze reimbursement and quality results and provide targeted education to improve outcomes.
- Oversee MDS accuracy, QM/QIP results, and EMR documentation (e.g., PointClickCare), including care plan and risk assessment libraries.
- Coordinate transitions during MDS staff changes and support onboarding of new MDS nurses.
- Participate in mock surveys focused on MDS and care plan accuracy.
- Collaborate with Corporate Clinical Quality Department and internal/external partners to promote best practices.
- Identify monthly Medicaid case-mix opportunities and coach teams to capture accurate results.
- Represent Otterbein in provider organizations and build professional networks to stay current on MDS updates.
Education
- Active RN license required
- BSN preferred
- MDS certification is a significant plus
Benefits
- Medical insurance with free virtual doctor visits
- Vision and dental insurance
- Pet insurance and life insurance
- Employee Assistance Program (EAP)
- 401(k) retirement savings plan with company match
- Paid Time Off (accrues from day one) and paid holidays
- Access to DailyPay for earned wage access
- Tuition reimbursement up to $5,250/year and tuition discounts through partner universities
- Employee-sponsored crisis fund
- Legal and identity theft protection
- Access to extensive personal and professional development resources
Average salary estimate
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