RN MDS Coordinator / Case Manager

Company: TMC
Location: Oviedo
Posted on: February 13, 2026

Job Description:

Job Description Job Description Description The MDS Coordinator is responsible for managing the assessment, care planning, and reimbursement documentation processes for all Skilled Nursing residents. This position oversees the timely and accurate completion of all Minimum Data Set (MDS) assessments in compliance with federal and state regulations, supporting reimbursement under Medicare, managed care, and other applicable insurance models. The MDS Coordinator provides leadership and supervision to the Clinical Review Nurse / MDS Nurse (LPN), ensuring coordinated admissions review, interdisciplinary documentation accuracy, and survey readiness across the Skilled Nursing Facility. Duties and responsibilities will be completed while demonstrating behaviors that align with our community’s service excellence philosophy and core values. Key Responsibilities The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned. • Oversees the complete Resident Assessment Instrument (RAI) process for the Skilled Nursing Facility, ensuring compliance with all federal and state requirements. • Maintains the master assessment calendar for OBRA, PPS, and insurance-driven assessments, ensuring timely completion of all required MDS submissions. • Ensures accuracy of coding, clinical documentation, and assessment completion to support reimbursement and quality outcomes. • Reviews assessment data for completeness and consistency prior to submission and corrects errors or discrepancies in collaboration with the interdisciplinary team. • Serves as the facility subject matter expert on MDS regulations, CMS requirements, PDPM methodology, and assessment timelines. • Evaluates resident documentation to ensure skilled coverage criteria are supported for Medicare, managed care, and other insurance reimbursement models. • Collaborates closely with billing, finance, and administrative teams to ensure assessment-driven reimbursement accuracy and proper utilization capture. • Conducts routine audits of clinical records, therapy documentation, and nursing notes to validate payment classification and billing integrity. • Leads interdisciplinary participation in Care Area Assessments (CAAs) and ensures care plans are individualized, current, and reflective of resident needs. • Facilitates collaboration between nursing, therapy, dietary, social services, and providers to ensure consistent assessment inputs and documentation quality. • Participates in care plan meetings to review resident progress, significant changes, discharge planning, and ongoing skilled needs. • Ensures assessment outcomes translate into effective care delivery and measurable resident-centered goals. • Monitors facility Quality Measures (QMs), Five-Star indicators, and other MDS-driven reports to support continuous quality improvement. • Provides assessment data analysis and reporting to leadership and QAPI committees to identify trends, risks, and improvement opportunities. • Maintains facility readiness for state survey and CMS audits through ongoing documentation review, regulatory monitoring, and staff coaching. • Ensures compliance with HIPAA, professional ethics, and all applicable healthcare regulations. • Provides oversight of the clinical review process for incoming admissions, ensuring residents are appropriate for Skilled Nursing placement and services. • Ensures timely communication with hospital liaisons, admissions coordinators, providers, and nursing leadership regarding resident needs. • Supports smooth transitions of care through coordination of pharmacy readiness, treatment plans, and clinical admission documentation. • Provides ongoing education to nursing staff, interdisciplinary departments, and leadership regarding documentation practices that impact MDS accuracy and reimbursement. • Serves as a resource for regulatory interpretation, assessment questions, and clinical documentation standards. • Promotes consistent understanding of assessment requirements across the facility. • Participates in leadership meetings, administrative planning, and operational initiatives as assigned by the Senior Director of Health Services or Director of Nursing. • Performs additional duties as needed. SUPERVISORY RESPONSIBILITIES • Directly supervises the Clinical Review Nurse / MDS Nurse (LPN), providing oversight of referral review workflows, admission support processes, and delegated MDS functions. • Assigns responsibilities and ensures timely completion of clinical reviews, assessment documentation tasks, and admission coordination requirements. • Provides coaching, mentorship, and professional development to ensure consistent performance and regulatory compliance. ENVIRONMENTAL ADAPTABILITY • Works primarily in a climate-controlled healthcare office and nursing unit environment with occasional exposure to residents, family members, and visitors under various emotional states. • May be exposed to infectious diseases, odors, and other health risks associated with healthcare settings. •Requires the ability to adapt to frequent interruptions, shifting priorities, and occasional high-stress situations while maintaining professionalism and accuracy. Skills, Knowledge and Expertise EDUCATIONAL REQUIREMENTS AND EXPERIENCE • Current and active Registered Nurse (RN) license in the State of Florida (preferred for Coordinator role) • Minimum of 3–5 years experience in Skilled Nursing or Long-Term Care • Minimum of 2 years MDS/RAI experience strongly preferred • Working knowledge of PPS, PDPM, OBRA, Medicare and managed care documentation requirements • Strong leadership, audit, and interdisciplinary coordination abilities and meet strict deadlines. KNOWLEDGE, SKILLS AND ABILITIES • Attention to Detail : Must be able to follow specific rules and schedules, as established by supervisor, based on resident needs • Interpersonal Skills : Ability to work in a polite, respectful, caring, calm, and compassionate way • Ability to Handle Confidential Information: Must be a trustworthy individual who can keep items confidential as appropriate • Language Ability: o Ability to communicate effectively in writing and speaking the primary language of the residents. o Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. o Ability to write routine reports and correspondence. o Ability to speak effectively before groups of customers or employees of organization. • Mathematical Skills: o Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. • Problem-Solving & Adaptability: o Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. o Ability to deal with problems involving several concrete variables in standardized situations. • Computer Skills: o Ability to use Microsoft Windows. o Ability to use software to design calendars and signs. o Ability to use the Internet. • Competencies: o Must demonstrate a warm, positive, and outgoing personality and behavior o Must demonstrate an interest in working with a senior population o Interacts with Residents, Associates, families, vendors, and other contacts in a courteous and friendly manner o Respond promptly to the Resident and the visitor's needs. Responds to requests for service and assistance o Completes tasks correctly and on time o Possesses excellent organizational skills o Possesses the ability to take initiative, think independently, and use good judgment o Must be a team player who can manage multiple tasks at once o Ability to work weekends, holidays, or evening shifts as needed.

Keywords: TMC, Gainesville , RN MDS Coordinator / Case Manager, Healthcare , Oviedo, Florida