MDS Consultant RN or LPN

Complete Care Management is seeking a detail-oriented and experienced MDS Consultant to join our team at our corporate office in Toms River, NJ. This role will primarily focus on reviewing PDPM scores on Minimum Data Sets (MDSs) completed at the facility level to ensure accuracy and optimize reimbursement.

Now Hiring: MDS Consultant

• This is an on-site role, out of our corporate office in Toms River. Must be willing to be on-site 5 days per week.

• MDS experience is required.

• Ability to maximize PDPMs.

• RN or LPN accepted.

Key Responsibilities:

• Review PDPM scores on MDS assessments to identify discrepancies and ensure compliance with regulatory requirements.

• Collaborate with facility teams to provide guidance on MDS completion and documentation practices.

• Analyze MDS data to support quality improvement initiatives and maximize reimbursement under the Patient-Driven Payment Model (PDPM).

• Conduct regular audits and assessments to monitor and improve coding accuracy and completeness.

• Serve as a subject matter expert on MDS assessments and PDPM guidelines, providing training and support as needed.

• Stay updated on changes in CMS regulations and guidelines related to MDS assessments and PDPM.

Requirements:

• Registered Nurse (RN) or Licensed Practical Nurse (LPN) with active state licensure.

• Minimum of 5 years of experience in MDS assessment and PDPM reimbursement methodologies.

• Proficiency in MDS 3.0 coding and familiarity with PDPM guidelines.

• Strong analytical skills with the ability to interpret complex data and identify trends.

• Excellent communication and interpersonal skills, with the ability to collaborate effectively across teams.

• Detail-oriented mindset with a commitment to accuracy and compliance.

Preferred Qualifications:

• Certification in MDS completion (RAC-CT) or similar accreditation.

• Experience working in a skilled nursing facility or healthcare consulting setting.

Why Join Us:

At Complete Care Management, we offer a supportive work environment where your expertise in MDS assessments and PDPM optimization can make a significant impact on our operations and resident care.

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