MDS Coordinator / Social Services (RN or LPN)

Pay:

LPN: $35–$40/hour (DOE)

RN: $38–$43/hour (DOE)

Schedule: Monday–Friday

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Job Summary:

Aspen Meadows Health and Rehabilitation Center is seeking a hybrid MDS Coordinator / Social Services professional to support both clinical reimbursement and resident psychosocial needs. This unique dual-role position partners closely with the Interdisciplinary Team (IDT) to ensure accurate MDS completion, effective care planning, and strong discharge coordination for residents.

This role is ideal for a nurse who enjoys both the analytical side of MDS and the relationship-driven work of care coordination and social services.

Essential Functions:

MDS / Clinical Reimbursement Duties:

• Coordinate and complete MDS, CAAs, and care plans in accordance with State and Federal regulations
• Set and communicate Assessment Reference Dates (ARDs) with the IDT
• Ensure timely and accurate completion of all MDS assessments
• Review clinical documentation to support MDS coding and reimbursement
• Participate in Medicare and insurance utilization management
• Collaborate with nursing and therapy teams to ensure compliance and accuracy
  
  
  

Social Services / Case Management Duties:

• Support residents and families with psychosocial assessments and care planning
• Assist with discharge planning, transitions of care, and follow-up services
• Connect residents and families with community resources (financial, legal, mental health, etc.)
• Provide support for residents experiencing behavioral or psychosocial challenges
• Partner with IDT to develop and implement person-centered care plans
• Act as a liaison between residents, families, and the care team
  
  
  

Education, Licensure, and Experience:

• Required: Active RN or LPN license in the state of employment
• Preferred: Experience with MDS/RAI process and care planning
• Preferred: Long-term care or skilled nursing experience
• Preferred: Experience with discharge planning, case management, or social services
• Preferred: PointClickCare (PCC) experience
• Strong communication, organization, and interdisciplinary collaboration skills required
  
  
  

Benefit Highlights:

• Medical, Dental, Vision
• DailyPay – get paid when you need it
• Life Insurance
• Employee Assistance Program
• Growth and development opportunities
  
  
  

We are committed to a culture of integrity, teamwork, and compassionate care—because people always come first.

Location:

Aspen Meadows Health and Rehabilitation Center

3155 Avenue C

Billings, MT 59102

Evergreen Healthcare Group is an Equal Opportunity Employer.

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